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0686 IYANNOUGH ROAD/RTE132 - HAZMAT
uac c TRACY VOLKSWAGEN INC \V� Roy Medeiros 686 lyannough Rd. Service Manager Hyannis,Ma 02601 508 775 3049 EXT 133 508 778 5766 fax roy@tracyvw.com or schedule service at tracyvw.com Number Fee. 198 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagan PO BOX 460/686 Iyannough Rd, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------- ------ -------------------------------------------- ---------------------------------------------- ----------------------------------------- ---- ------- --------------------- -------- -- -------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended.or revoked. - -------------------------------- - WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. _ 6/30/2009 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health f Town of Barnstable Barnstable THE Regalatory- Services Department A"Maitvacity • 1rUtN5'T':LHLE, a Public Health Division � A 16 1�� 200 Main Street, Hyannis NIA 02601 z� �A 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO i Application Fee: $100.00 I ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PEW 1IT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT tAj . NAME OF ESTABLISHMENT - � O f h5 ADDRESS OF ESTABLISHMENT 0 TELEPHONE NUMBER &A" 775 30Q? SOLE OWNER: ' YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO, aLI3 oC W7 STATE OF INCORPORATION— FULL Y FULL NAME AND HOME ADDRESS OF: PRESIDENT . �(( d F)rd tj Trc�u 19'G"'CW � �r tV /3 5� )Q(e Ifs OZ fob $ TREASURER -7 C /D/. ,? ✓ 0,05 Ml'i oa(o(( S CLERK l — lG b/,g2t+- l ' I - W, MA as cab� • i`ATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# ,So 4X- Qn2n _ Q:\Hazmat%Haz Mat Application2003.DOC i 11 -6 0 3 THE T° Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARM R,% L � 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: �� Location/Mailing Address. Contact Name/Phone: 1044 Inventory Total Amount: MSDS: License#: Tier II : A18 Labelina: a Spill Plan: QOS Oil/Water Separator: A0A Floor Drains: NO Emergency umbers: Storage Areas/Tanks: V6046 od Emergency/Containment E ui ment: DI` Waste Generator ID:A40043RO d Waste Product: W ` Date&Amount of Last Shipm( ency: X0 Licensed Waste Hauler&Destination: C,! `►1 Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS I)b CW1 NOTE: Under the provisions of Ch. 111,.Section 31, of the General Laws of MA, hazardous material use, storage d disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers ydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil L/ Disinfectants MMiscellaneous petroleum products: Road salts ✓✓✓✓ grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides -Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: ►S ` Me— Inspector:IV Facility Representative. WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagon .-------------------------------------------------------------------------------------------------------------------------------- 686Iyannough Rd, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r G� y Town of Barnstable Inspectional Services BARNSTABLE Public Health Division MRY.TA%E(EhRE3VILtF:WNR•YY4N15 MA3SttXl5 M1t5.OS'E0.VItL•1'FS(B.IWSTABtE 1639-1034 65 BAMRrABM Thomas McKean, Director t639. �v ` 'den rye+' 200 Main Street, Hyannis,MA 02601 CD s- Office: 508-862-4644 Fax. 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 El CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 31 f — O 1 f 2. IS THIS A PERMIT RENEWAL? / YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD Q•UANTITIE(S(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: bmApord I ro-C, 5. NAME OF ESTABLISHMENT: l V4wqw 6. ADDRESS OF ESTABLISHMENT: 6 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: ©� I {�rT 8. TELEPHONE NUMBER OF ESTABLISHMENT: SQL' 9. EMAIL ADDREi SS:. imp- rvi 10. SOLEOWNER: YES �NO IF NO,N ME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME'-\ V 1n�Io YIeJ Vl' d'l PRESIDEN W ( F TREASURER °� CLERK el 12. IF PREPARED BY OUTSIDE ARTY: NAME: TELEPHONE#: . COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT PPLICAN DATE Co 2 Z — Zo Zo Q\Application Forms\Haz Mat Appli Draft Jan2019.docx I"E►ow� rVS Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASSBLE.g` 200 Main Street• Hyannis, MA 02601 t6 M s�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT tFD MPS Business Name: fin v 0. Date: UQ Location/Mailing Address: Contact Name/Phone: 71 '3 Inventory Total Amount: 4500 SIDS: n._ License#: Tier II : J 6 Labeling: Ueq Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storacie Areas/Tanks:. U i d�no . i Emer enc /Contain en i ent: ; Waste Generator ID: Waste Prod t: aflitcQ6, to Date&Amount of Last Shipment/Frequency: QW , Licensed Waste Hauler&Destination: can V"� Vol ` Other Waste Disposal Methods: W LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers ngine and radiator flushes ug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda �1acquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMM 91veru �Co Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS a Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that. Tracy Volkswagon 686Iyannough Rd, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BA.RNSTABLE Public Health Division Thomas Mclean,Director �°`Tee,3,w¢re`0 200 Main Sleet,Hyannis,MA 02601 . Office: 508-862-4644 F= 508-790-6304 APPLICATION FOR PERNET TO STORE AND/OR UTILIZE FL4,ZARDOUS MATERIALS IN ACCORDANCE WTrH THE TOWN OF BARNNSTABLE GENERAL ORDINANCE,CHAPTER 103, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER TH.�\T HOUSEHOLD QiiA IITIES ARE REQUIRED TO OBTAIN A-NT AI,NT UAL PERMIT(RUNS =Y Ist-IL-NT-30th). APPLICATION FEES CATEGORY 1 PER1= 26-110 Gallons: S 50.00 ❑ CATEGORY 2 PERIET 111-499 Gallons: S125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: S150.00 �Z.Vs-, M A late charge of S10.00 yz11 be assessed if payment is not received by July 1st Z3 1. ASSESSOR'S IVLA.P AND P-ARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PER-MIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZO\TI\TG/BMLDIING APPROV AI,FOR HAZARDOUS ILATERLALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)?^YES NO 4. FULL NAMI M OF APPLICANT: 1, / I l 5. NA1,/M OF ESTABLIS=, --,\T: r v 1 , r� t R{ 6. ADDRESS OF ESTABLIS=, N"T: too -l-c-t j1 n m tC,� 1E�+ U_,(x(ji)I'S CJa lfJ C7. 7. IVLALMIN'G ADDRESS(IF DIFFERENT FROM ABOVE: Jtile A f n JA t1 0-2 o O J S_ TELEPHONE1N-U-NMEROFESTABLISRNIENT: -0a- 9. EMAIL ADDRESS: �tLLy L2�@J C�6 V 1n1.CD N1 10. SOLEOW\rZR: YES_NO IF NO,NAn7E OF PARTNER: 11. FULL NAME,MIME ADDRESS,AND TELEPHONE r OF: CORPORATION NANI M k -ttZ-1 PRESIDE\ TREASURER fa 1 rW1 YA CLERK o1 1-2. IF IF PREPARED BY OUTSIDE PARTY: N.AIVM: TELEPHONE : COMPANY ADDRESS EMAIL: SIGNATURE OF APPLIC.A I� �� DATE - - Q:Wppli=tionr'orms\F=Mar App Revised -IS.docr , r� r Town of Barnstable IL Inspectional Services BARNSTABLE 'THE l ti W Mal.•cz+rc:vL•cm+.m•n+mm�s 'jg Public Health Division MASS. 5 E�r 14i;T3AAiJ E 9 Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ,; HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS MY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 -51VvYpj Gh� *A late charge of$10.00 will be assessed if payment is not received by July 1st. V -6 2 3 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?I YES_NO. IF YES,SKIP QUESTION 3. 3. FOR.ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Tvt C1 5. NAME OF ESTABLISHMENT: ��' V (A) 0.J 0 io-c 6. ADDRESS OF ESTABLISHMENT: 1- onraj4I s- op-0 o 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: �QVLQ , 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: ;e 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME %vra." Vo Ikr UjQ Akj PRESIDENT TREASURER fa j tr "JIi YA III &!wAnIlt A da- CLERK SCLmt�- 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application Forms\Haz Mat App Revised 09-10-18.docx Fe i NUMBER FEE 18 THE COMMONWEALTH OF MASSACHUSETTS $150.00 TOWN OF BARNSTABLE AGENT'S OR SELLER'S LICENSE - CLASS I FOR THE SALE OF SECOND-HAND MOTOR VEHICLES In accordance with the provisions of Chapter 140 of e e a m o Tracy Volk pe Co whose principal business is the sale of new mot r as a g e Yolkswa , Inc. ------- ----- - - . - or who has a signed contract as required by Se t n458, Class 1, is nsed LEurch se%n II, as incidental or secondary RN R thereto, second-hand motor vehicles at No. 686 cute 132RAWUgh Rd; 81 Cedar St, 63 Cit Avenue, Hyannis s on premises described as follows: BU NSISTS F CRET FRAME CONSTRUCTION. TWO SHO O REAS & PREP FACILITIES. OFFICE SPAC W& USED CARS. PARKING FOR CUSTO T AT 63 CIT AVENUE, HYANNIS. RESTRICTIONS: Lot at Cit Avenue restricted to 44 vehicles as s iow on plan approved by the ildi CE m sioner on 1017113. Issue Date: January 1, 2019 Signed .............................. -------------------- .. ..... ................................. • • ........................................................................ THIS LICENSE EXPIRES: December 31, 2019 THIS LICENSE MUST BE POSTED IN A CONSPICUOUS PLACE UPON THE PREMISES. Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagon 686Iyannough Rd, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ---------------------------------------------------------------------------------- ------------------------------------------------------ ------------ ---------------------- -----------------------------------------------------=-------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health o'c�Gi� Vwofor Brnsxable eg atory ervlces t Richard V. Scah,Director � T BARNSTATa , ' o Public Health Division . n� . . : BARNMBLE. Thomas 16 McKean Director MASS. , 39-2014 a63q. 10� clllcl '�� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 -r APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE } HAZARDOUS MATERIALS � IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 X VI S . *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? 4/YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: e>ra-A W �� 5. NAME OF ESTABLISHMENT:-r o,N.,j ®I� (,t�Q Ci Q Vl4fo,C 6. ADDRESS OF ESTABLISHMENT: �L Vl b7U tAuavio i5 m 0-a & CJ/ 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: ` �{ W1 S H 9 Oa(oG i 8. TELEPHONE NUMBER OF ESTABLISHMENT:���- D D S -JOB-( 9. EMAIL ADDRESS: l vL 1, Uw . CGS 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: e f2 w rC.=o-A-1 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: l CORPORATION NAME 1k,;tue v\- PRESIDEN , r0. TREASURER o `Ire v Iq r Gcf" 5+rA to g` CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE'OF APPLICANT DATE Q:\Application FormsUiAZMAT APP 2017 REVISED.docx Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagon 686Iyannough Rd, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ l�. This license is.granted in conformity with the Statutes and ordinances relating there to, and �p and expires 06/27/2018 unless sooner suspended or revoked. \3 -------------------------------------- PAUL J.CANNtFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health F¢ •� - � xow�, of Unstable R Matoerlces g 6Richard V. Scali, Director ofW t mCi�mta. .�� Public Health Division BARNSTABLE � 6ARY5:.:6LE.St<ERutuE•CONR•HTa.t:15 �AB� Thomas McKean,Director " ��"°�163`-201"'s`"°'"s" MASS. 1639-2014 200 Main Street,Hyannis,MA 02601 ��g N) 0 Office: 508-862-4644 '�"p?�6 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS t IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 El CATEGORY 3 PERMIT 500 or more Gallons: $150.00 W *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO.. 2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS • ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. d—� 4. FULL NAME OF APPLICANT: l 5. NAME OF ESTABLISHMENT: , 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: i 8. TELEPHONE NUMBER OF ESTABLISHMENT: d 9. EMAIL ADDRESS: iu e VIA) OC6 10. SOLEOWNER: YES 40 IF NO,NAME OF PARTNER: L`� r 11. FULL NAME,HOME ADDRESS,AND EPHONE#OF: CORPORATION NAME �rdC o PRESIDENT TREASURER CLERI 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: C -v SIGNATURE OF APPLICANgF DATE 61,4/�/7 Q:\Application Forms\HAZMAT APP 2017 RE w TME roy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 8ARNSTABLE. MA " RS, g 200 Main Street• Hyannis, MA 02601 .6 , M 0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 P'� Business Name: ---T—,raL,1 In Date: q�bl Location/Mai ling Address: ,� o- , Contact Name/Phone: 6'a cis of V ,Q) -lTS--Soy Ret, ,1,-. _ 5e-+4- k-;> Inventory Total Amount: SDS: 'e,s License#: 3 Tier II : Labeling: Spill Plan: Y,25 Oil/WaterSeparator: eS Floor Drains: e5 Emergency Numbers: --e-S Storage Areas/Tanks:2-SDy 9 a.1 , Emer enc /Containment Equipment: �d `` �"jat Y '�. Waste Generator ID: Waste Product: o' 4'-ws o S 51,E Date&Amount of Last Shipment/Frequency: 3 214 177 S'p ti o, q i(. l;ea l,6 , 1-}.e r5 Licensed Waste Hauler&Destination: b r�� ��1f e�c5 C vt r, ( ol.J S I 7 4 e eek. Other Waste Disposal Methods: \nAA 4rce a cos e,S w o b_ LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze 4'01L'01'e' Dry cleaning fluids Automatic transmission fluid 1174— Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers —� Hydraulic fluid (including brake fluid) -�— Windshield wash Motor oils *,��a��- — Miscellaneous Corrosives 5>1*0q1�� �— Gasoline,jet fuel, aviation gas Cesspool cleaners V Diesel I, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants ✓ Degreasers for engines&garagesSt-i , Pesticides: Caulk/Grout wew� insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink �— Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible CtwKo'!>415 Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" V �E fr (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATIO /RECOMMENDATIONS: J� `� a t�Gt et o CAWS ' Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 198 THE COMMONWEALTH OF MASSACHUSE•TTS $15o.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagon 686Iyannough Rd, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. ---------- ------------------------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------ ---------------- ------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO iii Director of Public Health t Town of Barnstable . �THME� Regulatory Services ti Richard V. Scali, Director ` `"MASS. Public Health Division AA #TE3.6;y H4nsms°pu Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 (1W. Fax: 508-79(R304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE.WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY I PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 A late charge of$10.00 will be assessed if payment is not received by.July 1st. ASSESSORS MAP AND PARCEL NO. DATE Co 1 I S 1 �, FULL NAME OF APPLICANT: 1 T NAME OF ESTABLISHMENT: V(3 S LUQ st WC_ ADDRESS OF ESTABLISHMENT: 10�6 2 ` �— Qa(oO MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: C� U aj 0 V SOLE OWNER: YES VINO IF NO,NAME OF PARTNER: rC�. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME —T_ra c g '1 A3 `1�4 c PRESIDENT TREASURER tNuS CLERK • IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLI_C_ANT Name: Company Address : Telephone#: Email: Q\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 `gyp IME row~$ Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMA.kq 200 Main Street• Hyannis, MA 02601 1639. �prEO >� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: Location/Mailin Address to T o.� h✓! S Contact Name/Phone: 2 2 2 r + g r S'S'7-1 3oW Inventory Total Amount: MSDS: 7f_5 License#: Tier II : No I Labeling: OK Spill Plan: 7 �S Oil/WaterSeparator: A Floor Drains: ZS-701>5 Emergency Numbers: -/ 5 Storage Areas/Tanks: 9- oo a1 S Ace + c� "S ,,.�. �. X--C S al c,, �l�iwe Emergency/Containment Equip ent: orlo� - 200 1&1 Asz-�.a al � tiuel Waste Generator ID: _#1 A1>DY3 NDq 6 yA Waste Product: o�/ fcrs 4nt� ice s/ Date&Amount of Last Shipment/Frequency: y16/ib 200,4 ^- /x yl 8001 b I acts 3/B//b Licensed Waste Hauler&Destination: G l/ •Sfo� haw ✓�?X! Other Waste Disposal Methods: I o o 1 t O c �)oolc.l ¢a�� �Jas4CaJ t��go�5 �o ca,.n o Ot,.� tifik,0-c� 6 �,,Pn� l/vJlc LIST OF TOXIC AND HAZARDOUS MATERIALS / NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. J Antifreeze Dry cleaning fluids �— Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash �— Motor oils —� Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: --� Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar ((��uv Swimming pool chlorine Paints, varnishes, stains, dyest Q�wk Lye or caustic soda Lacquer thinners Quo Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/ ECOMMENDATIONS: a e e QAvA,,r SS N<',JVA-,s �a� Inspecto . i Facility Representativ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagon 686Iyannough Rd, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health r` co ' 4 ;�. Town of Barnstable VE� Regulatory Services • Richard V. Scali,Director RAJ AM M Public Health Division i639. `�� 0.19 Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. f DATE J APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 1" r" W. 0_(2"q NAME OF ESTABLISHMENT V[)1 I (,tX?�o>_Q(/< <c -(,� (► i • ADDRESS OF ESTABLISHMENT V1 v,Y TELEPHONE NUMBER -7_2 S - WC1 ! SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.Q -a4 3A'�� STATE OF INCORPORATION 1'" Q SS FULL NAME AND HOME ADDRESS OF: PRESIDENT rear T bir TREASURER I( W , -'x- v H W 02L(o ?- CLERK I L &M Nr7 10 S GNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS I M-�— - _ U).T S� HOME TELEPHONE# - qd C:\cache\Temporary Intemet Fi1es\0LKD3\H4ZAPP Rev2015.DOC a� .ro Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 c, Regulatory Services Department BARNS ELF, Public Health Division v$ MASS. Thomas A. McKean,CHO ib34. `�A 200 Main Street, Hyannis, MA 02601 Payment Receipt H� azardous Materials Payment received: $100.00 (Check) on 6/15/2015 i 4 ;Check number: 2728 Check amount: $100.00 Name on check: Cape Cod Auto Body Business: Tracy Volkswagon Inc. Owner: BRADFORD W &JEFFREY W TRS TRACY Address: 686 IYANNOUGH ROAD/RTE132, Hyannis i I i } °p 1ME► Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARA��.� 200 Main Street• Hyannis, MA 02601 Fo59. y TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �e-c,)f Date: Z ►S Location/Mailing Address: 4v%VI.6-J a VIA�s Contact Name/Phone: D --7-5- o Paci 5 Ma c." (jca,2��rac� _J Inventory Total Amount: -1 boo -I100�a.l MSDS: ' e-6 License#: Tier II : Labeling: 64 ool Spill Plan: Oil/WaterSeparator: yo Floor Drains: g-7 00 Emergency Numbers: `/ZS Storage Areas/Tanks: boo AsT:tic, o.l+Masto-o•l . nSg,,l Ak'—2466-u2 wank , zoo eeee- Emergency/Containment Equipment: oY k Waste Generator ID: ,O i7 Waste Product: o+l f7, +cc5 4w�� 'tee�,e. Date&Amount of Last Shipment/Frequencv: Licensed Waste Hauler&Destination: C k-Fo►c- �1 Other Waste Disposal Methods: -x X LIST OF TOXIC AND HAZARDOUS MATERIALS o t1VkN0f vte-t-��i5t- '7I NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils ak ,,cs Miscellaneous Corrosives ✓ Gasoline,jet fuel, aviation gas Ga Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants �— Miscellaneous products:roducts: Road salts p grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout wo-�ec' G insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) v— Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: 500-61 of a, 1 i✓t(�-• Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS t Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagon 686Iyannough Rd, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health J Town of Barnstable °F'THE, � Regulatory Services Richard V. Scali, Director Y Y • Y B" NSTA MASS. F� Y Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN II I GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT (MY) L, ADDRESS OF ESTABLISHMENT . I�j'� .�►5 ll✓1�jrle U o b zz TELEPHONE NUMBER �56 ' c) SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL �3 PARTNERS: =- C-a 't E IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 642A Z- '8 STATE OF INCORPORATION Iv l O 5 cS FULL NAME AND HOME.ADDRESS OF: PRESIDENT �jy� W�i I I)-, Uj 1-J TREASURER I I I� ✓. 13)1140�% dZ , CLERK 1AQ11,t4 GNATUR�OF APPL"ICANTI RESTRICTIONS: HOME ADDRESS HOME TELEPHONE Q\Application FormsViAZAPPLOC Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagon PO BOX 460/686 Iyannough Rd, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------------------------------------------------- ------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town, of Barnslable -VE ReguLatory Semicles - -� Toms Y Gamer,Drectar 3 4- pa ,MM Public Healer Dilo w a 'Thomas McKe2n, DrL �c#al . 2D.0 Main Sett, HTaT1 is, -I+fA 02601 GfEcz: 500'4*62-4b44 F= 508-790-630 aO I _�3s]KSSJP_S 111.�lP AI'M PARCH NO, DATE 12 J APPLICATION-FOR PER K' TO STORE AND/OR U'TU= MORE THAN III A=C'�S OF -FFAIAR QUS MATERIALS -SAE OF A2:PTTcANT . \roc -_LN-9, OF ESTA37,t SEMILU ®1 t CL e- e . ADDRESS OF ESTr��s r 8 tv �R� e. �3 a V�1� C3a T7Dgo E vv�ET� SCAL `��S 3 �{ "� C- SOLE 0 7RN= YES No - v 1E'APPI ICANT IS A PART Ste, UZI. .A �H01 + ADDRESS OF A= roe . P.1�1= -LLR1.J. NJ 1"0 IF APTLIC_�-T IS,,, CORPIORAMON; FEDE ID 'IcA=,O jNoe7p-ag 5 a� STATE OF IN C ORP ORATIO-N IF=NAME AND'HOB ADDRESS OF: P�SDE�'T Ira I G c'4 g 1 IL f c II le SI TURE OF.0TI CANT T2sTpJ=0FS: H= ADDRESS 1 ; HOSE T=EOPII:9 6 4— �lko2lp `�-fdndwp/q Date: TOWN OF BARNSTABLE ovi_ = TOXIC AND HAZARDOUS MATERIALS FORM NAME Or BUSINESS: ��-G �e I�S►aa, w BUSINESS LOCATION: 6S(o = a�v�o� J`, 4�n� INVENTORY MAILING ADDRESS: .54vkk— TOTAL AMOUNT- TELEPHONE NUMBER: SOo -7-Z S- 304 g ^' /600- 1700 pals CONTACT-PERSON: Des 1 R-,r l«eKse---o/?a EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: avfo SA,6 tq,o4tYI4PtG-e_/f`- a4# r A 5 INFORMATION / RECOMMENDATIONS: Ova u. cle�rc.4,ti�- Fir District: we,�t''o� 4rt► ko �2Lmwtrkcvt� ewtl- � 64IW4, 190c'Lefs ✓►dote. t"t)4hvt►s vLA-t V I µ-G4 1W 4cC 150 Ge-e 4,1 6CV44IKers Le oe tJL4,,- "4- I K_ v52r . Waste T n: MADo�f3yog6�� Last shipment of hazardous waste: lZ l� i3 Name of Hauler: CYP- 6), 1 Destination: Ll w Waste Product: 04e44 o,IX 14v--c15-t awt.Cree ge. Licensed a No Ja.�'ek-yy {�tec.K, .��ps a� o, wa#�..r�pe�oc#o-r �'o-�• once. a e4 NOTE: lOnder the lrovi§ions of Ch. 111, S ction 31, of the General L64vs of MA, hazartlyous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum I b s Antifreeze (for gas line or coolant systems) Miscellaneous Corrosive 'U USED t I a Cesspool cleaners C� NEW ss Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 5ioA ED s°' (insecticides, herbicides, rodenticides) 1300 �NEW Photochemicals (Fixers) Gasoline, Jet fuel,Aviation gas Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED / Miscellaneous petroleum products: grease, Photochemicals (Developer) ✓ lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous(please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers 11 Windshield wash 11SAT,( WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagon PO BOX 460/686 Iyannough Rd, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER, M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D._ 6/30/2010 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health I IU t{ Town of Barnstable ` tHE � V Re ulator Services OF Tp� • y`` °° ° Thomas F. Geiler, Director ' HARNSTA SS.. �NIA * )Public Health Division 9 039. g. AlFD Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6 iO4 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE-p wzllo APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT � NAME OF ESTABLISHMENT a 17 • ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER 50 -775,30q SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATI�OAN: FEDERAL IDENTIFICATION NO. 6yj-2 32SRR STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: '� ^_ PRESIDENT 81(Ac4 d w- -7aL � Oi 6cvw l/ D U� )u Z(o(o TREASURER a !Sh - / (, CLERK I l q Gr -6 • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE #�aC�'U Flaz.doc,%U`y Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagan PO BOX 460/686 Iyannough Rd, Hyannis,MA 02601 -- --- -- -- ------ _._... -------------- Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------- ------------------------------------------------------------------------------- ''------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health iN :^r Town of Barnstable Barnstable Regulatory Services Department AWWedcaCftv Public Health Division '. nataysraaLe, 200 Main Street, Hyannis MA 02601 '°rfn " 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE (P o�D 169 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT k'Jy((`��UI�(�I (I). NAME OF ESTABLISHMENT r6tL*LP VOI�.SLtZtQe1'? �( . ADDRESS OF ESTABLISHMENT �b(11 r 1�G1.�✓I(7 QUt�j led. ma OZ000J Lj TELEPHONE NUMBER 6-6A-2-7i"04 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. OBI-Qg3ug� STATE OF INCORPORATION tqGi.S Yd(h FULL NAME AND HOME ADDRESS OF: PRESIDENT (- CAI ( Trhc 6/ i TREASURE CLERK I U r C 011X-TURk901 APPLICANT RESTRICTIONS: HOME ADDRESS 19 4✓f l l h l I J��Y, tt),& HOME TELEPHONE# 3 og �-i ao as R U Q:�HazmatlHaz Mat Application2008.DOC HAZARD COMMUNICATION PROGRAM TRA CY V®LKSWACEN 686 Iyanough Road,Route 132 Hyannis, MA 02601 508-775-3049 C C I 5/03 MP E_ CO ANY POLICY The ur p pose of this notice is to inform you that our company is complying with the OSHA Hazard Communication Standard, Title 29 Code of Federal Regulations 1910.1200 and the Massachusetts Right-To-Know Law Section 11, Chapter 111 F, M.G.L., by compiling a hazardous chemical list, by using MSDS's, by ensuring that containers are labeled, and by providing you with training. This program applies to all work operations in our company where you may be exposed to hazardous substances under normal working conditions or during an emergency situation. Under this'program, you will be informed of the contents of the Hazard Communication Standard and the Right-To-Know Law, the hazardous properties of chemicals with which you work, safe handling procedures, and measures to take to protect yourselves IF from these chemicals. You will also be informed of hazards associated with non- routine tasks, and hazards associated with chemicals in unlabeled pipes. Copies of the written program and MSDS's may be obtained from the ro ram p 9 coordinator, who has overall responsibility for the program. The Program Coordinator is John Mederios. r , INTRODUCTION On July 4, 1966, the Freedom of.Information Act addresses the facts to ensure that safety was signed into law for all citizens of the United aspects of handling chemicals are evaluated. States. This act was the forerunner of several The law is to ensure that this information is laws that were passed in recent years making available to employers and employees. information available to the public except where The Hazard Communication Standard allows an individual's right to privacy would be violated you to get information about hazardous or when confidential business is involved. chemicals. Your employer provides safety In 1970, the Occupational Safety and Health equipment and information so that you can take Act was passed by the U.S..Congress to assure all the necessary steps to protect yourself safe and healthful working conditions for working against exposure. You are responsible for your men and women. More recently, a new law was own safety and protection as well as those passed requiring employers to provide around you. The purpose of the standard is to information about potential hazardous chemicals establish uniform requirements to make sure that to the people who handle them in the workplace. the hazards of all chemicals produced, imported, This:law is called the Hazard Communication or used within the United States are evaluated Standard . and that this information is transmitted to the The understanding of these laws provides you people who use them. and your community the opportunity to learn It is important that everyone who works with or about the nature of substances that you may comes in contact with chemicals be provided. become exposed to. proper training.This training is required as part of Think for a moment about the tens of the Hazard Communication Standard. thousands of chemicals and the millions of As part of the training program,this manual will chemical mixtures in use today. Many have been provide you with information for dealing with - around for long time and will continue to be chemicals.The manual will identify sources of. used for a long time. People have worked with information about the chemicals you may come chemicals and chemical substances safely for in contact with, ways to reduce or eliminate risks centuries. Used safely and sensibly, chemicals to chemical exposure, and methods of and modern chemistry are a gift to us all. controlling exposure to chemical hazards. Synthetic fibers for clothes that won't wrinkle, The text of the law and this manual include chlorine to purify our drinking water, chemicals certain key words that are listed in the Appendix. -- for our health and welfare such as aspirin-all are This glossary will help you understand all of the chemical compounds. information that is available to you. The law does not restrict or ban the use of any subs-ance whether it is hazardous or toxic, but EMPLOYEE RIGHTS UNDER EMPLOYEE TRAINING TH E LAW Tracy Volkswagen in its interest of employee health and safety has developed a training The Hazard Communication Standard extends to program. anyone who works for an employer on or after The training program will be presented on your the law's effective date, Nov. 25, 1986. starting date of employment. When new Management-level employees, independent information is received, you will be given this contractors, government employees, as well as data as quickly as possible. plant personnel are covered under the law.. All employees will be trained before their initial These rights are permanent even if the assignment to work with a hazardous chemical ` employee leaves the job. Each state may have and whenever a new hazard is introduced. its own version, as a rewrite, of the federal Right- The training program, as an integral part of to-Know law.Therefore, it is advisable to consult Tracy Volkswagen's on-going safety concerns, on the specifics of your local requirements. will include the following important information: *Summary of the standard and this written RIGHTS THE LAW GRANTS TO program. EMPLOYEES 'Chemical names of listed chemicals used and the place in the facility where normally kept or As an employee, you have the following rights: used. *The Right to certain kinds of information about * Chemical and physical properties of hazardous specific health and safety aspects of materials(e.g..flash point, reactivity)and chemicals you handle or are exposed to in methods that can be used to detect the the workplace.This information can be in presence or release of chemicals. written or oral form but should be in a * Work procedures to follow to assure protection language that is generally in nontechnical when dealing with hazardous chemical spills terms and understandable to those employed and leaks. in this industry.The information must contain: *A review.of the toxic or hazardous conditions a)container labels of these chemicals(HMIS-ID system). b)on-the-job training * Explanation of the Material Safety Data Sheets c)Material Safety Data Sheets(MSDS) (MSDS)and how they relate to your safety in the workplace. *The Right, as an incapacitated employee, to * Health hazards, including signs and symptons have a third party exercise your rights under of exposure, associated with exposure to the law.This designated representative may chemicals and any medical condition known to be a spouse, guardian, executor, or certified be aggravated by exposure to the chemical union agent. Your physician, under certain ' Information and proper use and maintenance conditions, may obtain information on your of safety and personal protection equipment behalf. required. * Information on first aid procedures, and *The Right to examine any Material Safety Data emergency response. Sheet(MSDS)upon request. The Material * Explanation of chemical substances in special Safety Data Sheets must be readily accessible categories: to you or be shown that diligent efforts have a)flammable(NFPA) e) poison been made to obtain the Material Safety Data b)corrosive f)carcinogen Sheet(MSDS)from the supplier of the c)oxidizer g) mutagen chemical. When employees must travel d)explosive h) teratogen between workplaces during the shift, they are i) neurotoxin -- to have access to the MSDS'prior to leaving * Information and explanation of container labels the primary worksite, and when they return. and how they provide safe working conditions. _ *The Right to be free of discrimination or We will maintain a central file of all of the above retaliation for exercising your rights under the information for your review.This file.will be law. revised and updated as any new information is obtained. If knowledge is obtained that unlawful discrimination has taken place, you may file a complaint with the U.S. Department of Labor, Occupational Safety and Health Administration. NON ROUTINE TASKS OUTRIDE CONTRACTORS Occasional or"non routine tasks"are jobs that John.Mederios will be responsible for providing are outside of your normal work scope and information to Outside Contractors. Such training. Training for these tasks will be provided information will include a briefing on the by John Mederios or a trained and experienced HAZARD COMMUNICATION STANDARD as co-worker whom John assigns to work with you. presented in this written program, hazardous This type of training is normally given orally and materials and processes on site, applicable involves on the job instruction. Instruction on company safety procedures and the location of more complex non routine tasks requiring safety equipment and Material Safety Data detailed procedures may be provided in a written Sheets. form. When appropriate or upon request John, or his representative,will also provide copies of written This information will include: procedures such as'this written program, the 'S-pecific hazards Lock Out/Tag Out Procedure and appropriate *Protective and safety measures the employee Material Safety Data Sheets. can take Following this briefing the Outside Contractor 'Measures we have taken to lessen the hazard will be required to complete a copy of the acknowledgment form provided on the next Example of non-routine task of an employee of page. this company: TASK: Applying surface coating to concrete floor TOXIC AND HAZARDOUS SUBSTANCES: Two Part Epoxy Floor Coating OUTSIDE CONTRACTOR INFORMATION ACKNOWLEDGMENT FORM I, (name)of (company) acknowledge that (host company) provided information on chemical safety as required by the Hazard Communication Standard on , 20 This information included; review of this requirement of.the Hazard Communication Law; review of MSDS'for inventoried;regulated substances; information on the proper handling and potential exposure to inventoried and regulated substances. (name) (title) I ! f Transportation LABELING U.S. Departmento (DOT) regulations applicable to hazardous All questions regarding container substances transported in interstate labeling can be directed to John commerce; Medeiros, or his designee, who is 'the Federal Insecticide, Fungicide, and responsible for all in-coming containers Rodenticide Act as applicable to pesticides; and all secondary containers (those 'the Atomic Energy Act; containers other than the original). 'the Food, Drug, and Cosmetic Act. WHAT MUST BE LABELED FORMAT OF LABELS Any material that contains one percent of a listed Labels should be legible,in English, unless substance(two percent if present as an impurity) otherwise specified, and in a visible location on must be labeled. the container. Labels must be weatherproof if the container The Hazard Communication Standard requires will be exposed to outside conditions. that manufacturers, importers, and distributors Labels must be in boldface letters on a label each chemical when it leaves their control. distinctly contrasting background. The labels must include the identity of the chemical, appropriate hazard warnings(including routes of entry), and the name and address of NFPA (NATIONAL FIRE PROTECTION the manufacturer or importer. ASSOCIATION) CODES Labeling is also required of employers covered The NFPA codes are an approved method of I� by the standard, as follows rating the hazard level of chemicals.This provides an easy way to identify the hazardous CONTENT OF LABELS properties of the chemical under normal and . emergency situations. The code, using a four- All required labels must show the following color, diamond-shaped symbol, has numbers information:Chemical name, NFPA code(if from zero through four and specific hazard published), and must bear the letters "C," "M", identification abbreviations. Each color has a 17", or"N"if the substance is classified by the special hazard meaning:red at the top(fire), Department of Health as a carcinogen, mutagen, yellow(reactivity), white(specific hazard), blue teratogen, or neurotoxin. The routes of entry (health)with the level of the hazard, indicated by' and target organs are also required. a number from zero to four, printed in the color box referring to the type of hazard. Containers should be considered to include all The general meaning of the numbers is shown pipes, stationary containers, and every type of in the label on the next page. portable device. Tanks, drums, bags, boxes, bottles, and every type of containment should be included in the labeling process.. EXCEPTIONS TO LABEL REQUIREMENTS Exceptions include transfer containers of less than 10 gallons or 15 pounds intended for immediate use by that employee making the transfer(It is.advisable, though,to label con- tainers for immediate use to avoid any problems if the employee is distracted for any reason and puts the container down without a label. This can cause a problem for those in the surrounding areas)and containers that are already labeled pursuant to certain federal requirements, specifically: I i - frast'points HMIS and MFPA labels also include letters and/or symbols 3— 3 to designate the types of personal protective equipment 2—Haudwss s a WOW 200 F employees must use when handling chemicals. A _ „enoF It is the responsibility of each employee to heed the d wM seat bm warnings and use any and all protective equipment that is } r indicated. The chart below explains the symbols related to each letter: PROTEME EQj�P SPE ORC HAZARDRUCTIVITY . I'.. 09d1wr OX`d 2— r ared here Add ACID mydebnab w Q5 MUN GM03 AHMS 2—Vid=tCbew&d en 1n caffeal" con dow ,- R,- -rr GLG= AMMI HIIRIS CODE ` The HMIS--Hazard Materials identification System—label is y rectangular in shape and M.aR� �� �O1, g Pe comes m a number of formats. In all cases, the label includes three colors of bands to identify different hazards. The colors correspond to the NFPA (National Fire Protection Associations) standards noted- above: blue means a health hazard; red means a fire hazard, and yellow means a reactivity I irA3u Boa The label also includes space for the name of the hazardous material and the type of protective equipment necessary. For each type of hazard,manufacturers must also indicate wFcn, 0 M aPBDN GUMM"or the degree of hazard for each material. The numbers used mu" to denote this degree also correspond to NFPA standards: t, 0 means minimal hazard, • 1 means slight hazard, ,. All — • 2 means moderate hazard, GIN, � � VRM1 • 3 means serious hazard, and 0Mz, A�FlL,�R • 4 means severe hazard. #€ A sample of one label format is shown below: 9-vM 4 5 etr-IM AW1113 st�cc ags"�.i-#�'° .✓m� EH T 'w'•.. �t '�:' ;",: :fix - "'' �"� i ^l`.Fs7Y CfLVGT OC3SPltII7 ;�� '"✓,ig��fd }�4�i���3[�7<''�r �'��F;� ��.� a:r u.�e,rr�.kp �u� I max. 7 °° k% 3h+ 'lam` t �f ! , r, - A MOMelG'rc7 AvsBa OR% on �P- ............ AM ?.:. F�roa ern! in�e L GOL�J EACTIV, ]T. f0P of fclL9 huandlJn PERSONAL fntQac9�a�u. PROTECTION HEALTH HAZARD FIRE HAZARD 4-DEADLY (FLASH POINTS) 3-EXTREME DANGER 4-BELOW 73'F 2-DANGEROUS 3-BELOW 100°F 1-SLIGHT HAZARD 2-BELOW 200°F 0-NO HAZARD ,.. 1 -ABOVE 200OF 0-WILL NOT BURN r . z REACTIVITY OF s 4F HAZARD t� SPECIAL HAZARD �� REACTIVITY CIF-WATER REACTIVE 4,MAY DETONATE OX-OXIDIZER 3-EXPLOSIVE It-RADIOACTIVE 2-UNSTABLE - - COR-CORROSIVE 1 -NORMALLY STABLE ACD-ACID 0-STABLE ALK-ALKALI SPECIFIC PRODUCT INFORMATION (EFFECTS OF EXPOSURE) I P ®TECTIVE EQUIP. HAZARD RATING:] PE H L' cfliem em mr- C: s K l LIM o- _'x ( ."- j = I mn m I lie i .6 . a o I,•. -Cm � 1 . x. 6'c 1.0 DEGREE li Eif� a 00 �m 015 MOB �J � � � � �• .� �'::m �-� -. m a.� oa � ;".®min �° ; er t+ m a� m rmm 0 o ao � z -En ca I I xis 1 :13] I CHEMICAL HEALTH HAZARDS` PHYSICAL HAZARDS ACUTELY TOXIC CHRONICALLY TOXIC OXIDIZERS FLAMMABLEICOMBUSTIBLE CARCINOGENIC MUTAGENIC EXPLOSIVE UNSTABLE (REACTIVE) TERATOGENIC SENSITIZING AGENT , WATER-REACTIVE PYROPHORIC CORROSIVE IRRITANT iSaLS4.Dy�l��ykt �.y't}axiq�?i .E 1:!V•+s 4Y}�c�S;L'S'��'i ��4$��iSF 5�.� � 'S�� - - ' (a�.i'.E as I _5 C 3 z� ox &04 end,_0 �0� I'll ? 3 CDR= 40RFR Si V._. C - AC D ALK P-0rU`•i0`i E--.� I i HAZARDOUS MATERIALS LABELING CHART CLASS 1 Explosive CLASS 1 Explosive 1.4 CLASS 1 Explosive 1.5 CLASS 1 Explosive 1.6 CLASS 2 Division 2.1 CLASS 2 Division 2.2 1.1 �'DERCO. `'� EXPCOSIY ':�� BIJISTING�G- „E%PLOSvIyE �� '+�j�MN1AB�LE�GAS� �� 'Include appropriate division number *Include appropriate compatibility 'Include appropriate compatibility 'Include appropriate compatibility Flammablegas - Non-flammable gas and compatibility group. group. group. group. - - CLASS 2 Division 2.2 CLASS 2 Division 2.3 CLASS 3 CLASS 4 Division 4.1 CLASS 4 Division 4.2 CLASS 4 Division 4.3 t INHALATION OXYGEN FLAM ABLE�L1 Ulfl#. A ESL OMBUSTIBLE A fy; HAZARD � `'• � ma f Oxygen Poison gas Flammable liquid Flammable solid Spontaneously combustible Dangerous when wet - CLASS 5 Division 5.1 CLASS 5 Division 5.2 CLASS 6 Division 6.1 CLASS 6 Division 6.1 CLASS 6 Division 6.1 CLASS 6 Division 6.1 ._ Inhalation - Other Than Other Than OlherThan F L Hazard Inhalation Inhalation Inhalation n � , ' Hazard Hazard Hazard {:. {x OXIDIZER i s°�T r 4 INHALATION z Y 1 sb ts^, ORGANIC PEROXIDE HAZARD POISON TOXIC PG III 6 6 6 6 Toxic Packing Group III Oxidizer Organic peroxide Poison inhalation hazard Poison The word"TOXIC"is allowed to be used The text"PG III"is allowed to be used See Toxic and PG III labels. in place of the word"POISON' in place of the word"POISON.' - CLASS 6 Division 6.2 CLASS 6 Division 6.2 CLASS 7 CLASS 7 CLASS 7 CLASS 8 db _- A BIOMEDICAL MATERIAL INFECTIOUS SUBSTANCE RADIOACTIVE I RADIOACTIVE OI RADIOACTIVE gym.... ................. 6 The Etiologic Agents label may be 7 7 7w required for packages of infectious substances(42 CFR 72.3). Infectious substance Radioactive I Radioactive II Radioactive III Corrosive CLASS 9 SUBSIDIARY RISK EMPTY FOR AIRCRAFT CZZW ..i EMPTY 9 t: NdAGNETIZE® r. HEM MATER@AE aa• -" Unnumbered Miscellaneous Numbered Allowed until October 1,2005. For Class 7 packagings that meet the Cargo aircraft only Magnetized material See§172.402(b). requirements in§173.428.- - GENERAL GUIDELINES ON USE OF HAZMAT LABELS 1. The shipper must attach the appropriate label(s) to each package of hazardous material offered for shipment unless excepted from labeling requirements.(§172.400) 2. If the material in a package has more than one hazard classification,the package must be labeled for each hazard.(§172.402) 3. When two or more hazardous materials of different classes are packed within the same packaging or outer enclosure,the outside of the package or enclosure must be labeled for each class of hazardous material involved.(§172.404) 4. Radioactive materials requiring labeling,must be labeled on two opposite sides of the package.(§172.403) 5. A label should only be applied to a package containing a hazardous material if it represents the hazard inside.(§172.401) 6. No one may offer or transport a package bearing any marking or label which by its color, design, or shape could be confused with a hazardous materials label.This does not prohibit the use of labels in conformance with U.N. Recommendations, IMDG Code, ICAO Technical Instructions,orTDG Regulations.(§172.401) ©Copyright 2002 J.J.KELLER&ASSOCIATES,INC.,Neenah,WI•USA•(800)327-6868•www.jjkeller.com•Printed in the United States 38-FB(Rev.9/02)1116 HAZARDOUS MATERIALS LABELING CHART §172.400 General labeling requirements. (3)A package containing a hazardous material other with subsidiary hazard labels in accordance with the (a)Except as specified in§172.400a,each person who than ammunition that is- following table: offers for transportation or transports a hazardous (i) Loaded and unloaded under the supervision of SUBSIDIARY HAZARD LABELS material in any of the following packages or DOD personnel,and Subsidiary Subsidiary Hazard(Class or Division) containment devices, shall label the acka a or (ii)Escorted by DOD personnel in a separate vehicle. hazard level p g (packing containment device with labels specified for the (4)A compressed gas cylinder permanently mounted group) 3 4.1 4.2 4.3 5.1 6.1 8 material in the§172.101 Table and in this subpart: in or on a transport vehicle. P (5)A freight container, aircraft unit load device or I ..................... ....... X •• ... X X X X . (1)A non-bulk package; g II • portable tank,which- ••.•••••••..... X X X X X X X (2)A bulk packaging, other than a cargo tank, P III ............... X X X X X X portable tank,or tank car,with a volumetric capacity W Is placarded in accordance with subpart F of this of less than 18 m3(640 cubic feet),unless placarded in Part,or X-Required for all modes. accordance with subpart F of this part; (ii)Conforms to paragraph(a)(3)or(b)(3)of§172.512. . -Required for all modes,except for a material with. (3)A portable tank of less than 3785 L(1000 gallons) (6)An overpack or unit load device in or on which a flash point at or above 38'C(1007)transported by capacity,unless placarded in accordance with subpart labels representative of each hazardous material in rail or highway. F of this part; the overpack or unit load device are visible. •.•-Impossible as subsidiary hazard. (4)A DOT Specification 106 or 110 multi-unit tank (7)A package of low specific activity radioactive (b)Display of hazard class on .The appropriate- car tank,unless placarded in accordance with subpart material and surface contaminated objects,when .hazard class or division number must be displayed in F of this part;and transported under §173.427(a)(6)(vi) of this the lower corner,of a primary hazard label and a (5)An overpack,freight ter. ht container or unit load device, subchap . P g subsidiary hazard label.A subsidiary label meeting of less than 18 m3(640 cubic feet),which contains a (b) Certain exceptions to labeling requirements are the specifications of this section which were in effect package for which labels are required, unless Provided for small quantities and limited quantities on September 30,2001,such as, a label without the- placarded or marked in accordance with§172.512 of in applicable sections in part 173 of this subchapter. hazard class or division number displayed in the this part. (c)Notwithstanding the provisions of§172.402(a),a lower corner of the label,may continue to be used as a (b) Labeling is required for a hazardous material subsidiary hazard label is not required on a package subsidiary label in domestic transportation by rail or which meets one or more hazard class definitions,in containing a Class 8(corrosive)material which has a highway until October 1, 2005, provided the color accordance with Column 6 of the§172.101 Table and subsidiary hazard of Division 6.1 (poisonous)if the tolerances are maintained and are in accordance with the following table: toxicity of the material is based solely on the the display requirements in this subchapter. corrosive destruction of tissue rather than systemic (c)Cargo Aircraft Only label.Each person who offers Hazard class or Label design poisoning. for transportation or transports b aircraft a package division Lobel name - or section P P Y P g reference (d)A package containing a material poisonous by containing a hazardous material which is authorized. 1.1.............................. EXPLOSIVES 1.1..................... 172.411 inhalation(see§171.8 of this subchapter)in a closed on cargo aircraft only shall label the package with a 1.2 EXPLOSIVES 1.2..................... 172.411 transport vehicle or freight container may be excepted CARGO AIRCRAFT ONLY label specified in§172.448 1.3................I............. EXPLOSIVES 1.3..................... 172.411 from the POISON INHALATION HAZARD or of this subpart. 1A.............................. EXPLOSIVES 1.4..................... 172.411 POISON GAS label or placard,under the conditions (d) Class 7 (Radioactive) Materials. Except as 1.5.............................. EXPLOSIVES 1.5..................... 1172.411 set forth in§§171.12 and 171.12a of this subchapter. otherwise provided in this paragraph,each package 1.6............................. EXPLOSIVES 1.6..................... 172.411 2.1........................:.... FLAMMABLE GAS................ 172.417 §172.401 Prohibited labeling. containing a Class 7 material that also meets the 2.2....................,........ NONFLAMMABLE GAS........ 172.415 definition of one or more additional hazard classes. (a)Except as provided in paragraph(c)of this section, must be labeled as a Class 7 material as 2.3.............................. POISON GAS........................ 172.416 required by 3(flammable liquid) FLAMMABLE LIQUID............. 172.419 no person may offer for transportation or no carrier §172.403 of this subpart and for each additional Combustible liquid (none)................................... may transport any package bearing a label specified hazard.A subsidiary hazard label is not required on a 4.1.............................. FLAMMABLE SOLID.............. 172,420 in this subpart unless- package containing a Class 7 material that conforms 4.2.............................. SPONTANEOUSLY................. 172.422 (1) The package contains a material that is a to criteria specified in §173.4 of this subchapter, COMBUSTIBLE hazardous material,and 4.3.............................. DANGEROUS WHEN WET..... 172.423 except§173.4(a)(1)(iv)of this subchapter. 5.1.............................. OXIDIZER............................... 172.426 (2)The label represents a hazard of the hazardous (e) Class 1 (explosive)Materials. In addition to the- 5.2.............................. ORGANIC PEROXIDE........... 172.427 material in the package. label specified in Column 6 of the §172.101 Table, 6.1(inhalation POISON INHALATION........... 172.429 (b)No person may offer for transportation and no each package of Class 1 material that also meets the hazard,Zone A HAZARD carrier may transport a package bearing any marking definition for: or B).6.1(other than POISON................................. 172.430 or label which by its color, design,or shape could be (1) Division 6.1, Packing Groups I or II, shall be inhalation hazard, confused with or conflict with a label prescribed by. labeled POISON or POISON INHALATION" Zone A or B). this part. HAZARD,as appropriate. 6.2.............................. INFECTIOUS SUBSTANCE'..... 172.432 (c)The restrictions in paragraphs (a) and (b) of this (2) Class 7, shall be labeled in accordance with- 7(see§172.403)....... RADIOACTIVE WHITE-I.......... 172.436 section, do not apply to packages labeled in §172.403 of this subpart. 7................................. RADIOACTIVE YELLOW-II..... 1721 38 conformance with: (f)Division 2.2 materials. In addition to the label__ 7................................. RAD•IOACTIVEYELLOW-III..... 172.440 specified in Column 6 of the 1 7(empty packages, EMPTY................................... 172.450 (1)The UN Recommendations (see §171.7 of this P § 72.101 Table, each see§173.427). subchapter); package of Division 2.2 material that also meets the 8................................. CORROSIVE.......................... 172.442 (2)The IMDG Code(see§171.7 of this subchapter); definition for an oxidizing gas (see §171.8 of this" 9................................. CLASS 9.................................1 172.446 (3)The ICAO Technical Instructions (see §171.7 of subchapter)must be labeled OXIDIZER. 1The ETIOLOGIC AGENT label specified in regulations of the this subchapter); (g)Division 2.3 materials. In addition to the labeh- Department of Health and Human Services at 42 CFR 72.3 may (4) The TDG Regulations (see §171.7 of this specified in Column 6 of the §172.101 Table,package of Division 2.3 material that also meets the each apply to packages of Infectious substances. subchapter). - §172.400a Exceptions from labeling. (d)The provisions of paragraph(a)of this section do definition for: not apply to a packaging bearing a label if that (1)Division 2.1,must be labeled Flammable Gas; (a) Notwithstanding the provisions.of§172.400, a packaging is: (2)Division 5.1,must be labeled Oxidizer;and label is not required on- (3)Class 8,must be labeled Corrosive. (1)A cylinder, or a Dewar flask conforming to ( Unused or cleaned and purged of all residue; §173.320 of this subchapter containing a Division 2.1 (22))Transported in a transport vehicle or freight §172.405 Authorized label modifications. or Division 2.2 gas that is- container in such a manner that the packaging is not (a)For Classes 1,2,3,4,5,6,and 8,text indicating a- (i)Not poisonous; visible during transportation;and hazard (for example FLAMMABLE LIQUID) is notM (ii)Carried by a private or contract motor carrier; (3) Loaded by the shipper and unloaded by the required on a primary or subsidiary label. (iii)Not overpacked;and shipper or consignee. (b)For a package containing Oxygen,compressed,or (iv) Durably and legibly marked in accordance with §172.402 Additional Labeling requirements. Oxygen, refrigerated liquid, the OXIDIZER label CGA Pamphlet C-7,appendix A. specified in §172.426 Hof this subpart, modified to p pp (a) Subsidiary hazard labels. Each package display the word"OXYGEN"instead of"OXIDIZER",lI (2)A package or unit of military explosives(including containing a hazardous material- and the class number"2"instead of"5.1",maybe used' ammunition) shipped by or on behalf of the DOD (1) Shall be labeled with primary and subsidiary in place of the NON-FLAMMABLE GAS and when in- hazard labels as specified in Column 6 of the .OXIDIZER labels.Notwithstanding the provisions of (i) Freight containerload, carload or truckload §172.101 Table(unless excepted in paragraph(a)(2)of paragraph (a) of this section,the word"OXYGEN" shipments,if loaded and unloaded by the shipper or this section);and must appear on the label. DOD;or (2) For other than Class 1 or Class 2 materials (for (c)For a package containing a Division 6.1, Packing_ (ii)Unitized or palletized break-bulk shipments by subsidiary labeling requirements for Class 1 or Class Group III material,the POISON label specified in cargo vessel under charter.to DOD if at least one 2 materials see paragraph(e) or paragraphs (f) and §172.430 may be modified to display the text"PG III" required label is displayed on each unitized or (g),respectively,of this section),if not already labeled instead of"POISON"or"TOXIC"below the mid line ofr palletized load. under paragraph(a)(1)of this section,shall be labeled the label.Also see§172.313(d). ©Copyright 2002 J.J.KELLER&ASSOCIATES,INC.,Neenah,WI•USA•(800)327-6868•www.ijkeller.com•Printed in the United States 38-FB(Rev.9/02) MATERIALS HANDLING IN THE WORKPLACE-AN HANDLING MATERIALS EMPLOYEE'S GUIDE TO * Goggles, aprons, rubber gloves, or other SAFETY required protective items should be worn when handling acids, bleaches, alkalis, solvents or boiler compounds. The proper handling of materials insures that * If any chemicals should spill on your body, the right items are safely in the right place at the rinse them off immediately with cold water. right time. It is essential,for this reason,that all of Change clothes if necessary. us exercise proper procedures in any situation * Use a carboy tilting device or pump when for personal protection and efficient movement transferring acid, alkalis,or solvents from a of materials. large container into a smaller container. The way to minimize any dangers in materials * Use correct lifting methods and avoid back handling is for employers and employees to injuries: examine their own workplaces for any unsafe or a)Get a good footing. unhealthful conditions. These health or physical b) Bend at the knees to grasp the object. hazards can affect anyone exposed to those c)Keep the back straight and as upright as conditions at the workplace.These situations, possible. whether employee practices or equipment d)Get a firm hold on the object. , conditions, should be corrected as quickly as e)Lift gradually by straightening the legs, possible. keep back straight. The MSDS sheets describe all of the specific f) Use similar procedures when putting a safety and handling procedures for the load down. chemicals listed on that form. These forms * Use hand trucks when moving heavy should be reviewed by you, the employee, objects. before working with any new or unknown ' Limit size of the load so you have a clear product. You should also seek any additional view when pushing the hand truck. . supervisory assistance, if necessary,to insure * Keep the load trimmed so that it will pass safe and healthy practices. safely through aisles and doorways. *Clean up used crating and packing materials and avoid accidents. GENERAL SAFETY * Use a ladder or step stool when reaching for ,., high objects. *Smoking is prohibited in the workplace *When using a straight ladder, make sure that except in designated areas only.This is the feet are about one-forth of the ladder especially important for everyone's benefit. length away from the object against which it The puffing on smoking materials(cigarettes, is leaning. cigars, pipes, etc.)increases inhalation of * Stepladders must not be used as straight airborne materials that are present in the ladders. Always open them fully and lock the workplace. spreaders. *Keep all aisles and stairways clean of obstructions. *Wear clothing that is safe, sensible, and suitable for the job. Loose clothes should not be worn by anyone working around operating equipment. * Practical jokes and horseplay should not be r practiced in the workplace. *Do not eat or drink while at your work station. Use the cafeteria or lunchroom. * Never place electric appliances on boxes, low tables, or places where they can be touched accidentally or be knocked over creating a safety hazard. * Make sure equipment guards are in place when using any machinery. * Keep floors as dry as possible around your work area. * Get medical attention for all injuries immediately. SHOP MAINTENANCE * Check all extension cords, drop lights, and *Oil,grease, adjust, or maintain machinery power tools for worn or frayed wires. only while it is stopped. * Use sand or floor absorbent for any spills * Pull circuit breaker or fuses to safe guard that cannot be wiped up immediately. against accidental startup. * Do not smoke around gasoline pumps or *Check to make sure that other employees are tanks. Smoke only in designated areas. not working on any equipment before you *Do not fill fuel tanks while engines are start it. running. *Wear goggles or face shield when using air to blow off or clean equipment. *Never attempt to repair electrical equipment STORAGE AND DISPOSAL unless you are qualified for that kind of work. * Replace all broken or worn machine drive * Store materials or bundles on shelves so that belts. they do not protrude into passageways. * Inspect regularly and keep all equipment * Store bottles of acid, alkalis, bleaches,or safety devices in place and operating cleaning material on bottom shelves. properly. *Store all objects so that they will be readily * Inspect regularly and repair or replace any available without moving other objects. broken, worn, or splintered hand trucks, *Place heavy objects on lower shelves. *ladders, creepers,skids, or duct work. * Use proper step stools or hydraulic lifts Use a safety solvent for washing parts. when getting items from upper shelves. Never use gasoline. *All items in storage shall be properly *Store waste materials and oily rags in labeled to identify their contents. covered metal containers. *All items shall be stored so that you can Wear goggles while using abrasive wheels read the labels without moving the container., or working beneath a machine. *Keep storage areas well lit so that people will * Fasten oxygen and acetylene tanks to a not be in danger from items they cannot see. rack, truck, or work bench before attaching * Dispose of all waste materials properly. See control valves. Handle gauges and valves specific MSDS form for each chemical. carefully. Check local disposal requirements for *Make sure that vehicles are securely nonchemical materials. chocked. * Don't leave creepers lying around. Someone could trip on them. r MATERIAL ,SAFETY DATA SLEETS (MSDS) The Material Safety Data Sheets(MSDS)are LIST OF HAZARDOUS CHEMICALS kept and maintained by John Medeiros. Our List of Hazardous Chemicals is in John Medeiros, or his designee, is responsible the front of the MATERIAL SAFETY for obtaining new and updated MSDS. It is the DATA SHEET BOOK. It works also as policy of this company that when toxic or an index listing for the MSDS' and hazardous substances are received without an enables you to find what.you are MSDS, or the appropriate MSDS is not on file looking for with the most efficiency here, that the chemical will not be accepted until possible. such information is available. -. Substances are listed by Manufacturer and John will review incoming data sheets for new Trade/Chemical Name, as the container in your and significant health/safety information. And work area is labeled. then see that any new information is passed on to the affected employees. if a MSDS is The following will help you to better understand incomplete, a new MSDS will be requested from and access necessary information from an the manufacturer or supplier. MSDS. MSDS'are available to each employee during his/her workshift for their viewing. The Material Safety Data Sheet Book is kept in the Warranty Administration Room. In addition; posted with all the State and Federal Law Posters is a Safety Information Locator Form listing locations as to where to find MSDS', the Hazardous Chemical List,copy of this Written Hazard Communication Program and who to direct your safety related questions to. MATERIAL SAFETY DATA SLEETS (MSDS) The Material Safety Data Sheet(MSDS)follows a This form will provide sufficient information to ,-format that has been prescribed by the allow safe use and handling of the product. The Occupational Safety and Health Administration Material Safety Data Sheet(MSDS), as designed (OSHA).The format clearly requires certain by OSHA, is divided into nine sections. Each information be included on all MSDS forms. section deals with specific information. If you Some companies change the'style to suit their need further help in interpreting or finding needs but all OSHA required,information is specific information on the MSDS form, get it contained on the MSDS form. Some of the now during the training session to avoid an MSDS forms will not number the sections but actual risk while at your workstation. The most use titles in bold letters. important sections to remember are: The MSDS format outlined in this section will Health hazards information(V),especially first help you read and understand the form and aid know where to look for information, quickly, on Protective equipment(VI11) hazards,toxicity, first aid, and safety precautions • Precautions and handling procedures (IX) associated with any chemical substance. remember, safety is your responsibility. EXPLANATION OF MSDS FORMS SECTION 1-Material Identification SECTION VI—Reactivity Data Manufacturer's name, address, and Stability of product _. telephone number Reactions to other substances (water, Chemical name and synonyms chemicals,etc.) Trade name Incompatibility(materials to avoid) Chemical family Hazardous decomposition Formula and CAS number Conditions to avoid Date of preparation or change Name of person who prepared the form SECTION VII—Handling Precautions SECTION II—Hazardous Ingredients (spill or.leak) Identity Steps to be taken if substance spills or Threshold Levels(TLV)—Solvents, paints, leaks preservatives Waste disposal methods Threshold Levels(TLV)—Metals and alloy Neutralization if necessary coatings Threshold Levels(TLV)—Hazardous SECTION Vlll—Special Protection - mixtures of other liquids, solids, or gases Information Breathing protection (specifies type) SECTION III—Physical Data Ventilation or exhaust information Lists the chemical and physical properties Handling material specs(corrosive of the substance, the boiling point, vapor resistant,etc.) pressure, odor, volatility, appearance, and Protective gloves any other ph�sical information. Eye protection Other protection (hard hat, shoes, aprons, SECTION IV—Fire and Explosion etc. Hazard Flash points and flammable limits SECTION IX—Special Precautions Extinguishing procedures Storage and handling Special fire hazard instructions Venting if needed No smoking regulations SECTION V—Heallh Hazard Data Other precautions(temperature, pressure, Toxicology information etc.) Effects of overexposure(signs and Hygienic practices to be followed symptoms) How the chemicals enter the body First aid and emergency rocedures l MATERIAL SAFETY DATA SHEET SAMPLE U.S. DEPARTMENT OF LABOR Form Approved OMB No.44-RI387 Occupational Safety and Health Administration MATERIAL SAFETY DATA SHEET This Material Safety Data Sheet complies with 29 CFR 1910.1200(The Hazard Communication Standard) SECTION 1 MANUFAC'URER'S NAME EMERGENCY TELEPHONE NO. ADDRESS(Number.Slrccl,lily.Stale.and Z11'Cadc) CHEMICAL NAME AND SYNONYMS - - TRADE NAME AND SYNONYMS CHEMICAL FAMILY FORMULATLV - SECTION II - HAZARDOUS INGREDIENTS (Units) SECTION III - PHYSICAL DATA _._ BOILING POINT(•F.) SPECIFIC GRAVITY(H=0=1) VAPOR PRESSURE(MM Hg.) PERCENT.VOLATILE BY VOLUME(`6) VAPOR DENSITY(AIR=). EVAPORATION RATE [� SOLUBILITY IN WATER fl' APPEARANCE AND ODOR I� SECTION IV- FIRE AND EXPLOSION HAZARD DATA n. FLASH POINT(Method used) FLAMMABLE LIMITS Lel Uel 1111 EXTINGUISHING MEDIA SPECIAL FIRE FIGHTING PROCEDURES UNUSUAL FIRE AND EXPLOSION HAZARDS Only Ingredients exhibiting a particular hazard will be listed on this form. Chemicals not classified as hazardous according to OSHA Guidelines as they are specified in 29 CFR, 1910 will not be listed on this form although one or more may be present. i f 3 SECTION V - HEALTH HAZARD DATA THRESHOLD LIMIT VALUE EFFECTS Of OvERExPOSURE M A N Y AND I ST AID PROCEDURES { SECTION VI - REACTIVITY DATA STABILITY UNSTABLE CONDITIONS TO AVOID STABLE INCOMPATABILITY(Materials to avoid) HAZARDOUS DECOMPOSITION PRODUCTS MAY OCCUR CONDITIONS TO AVOID HAZARDOUS POLYMERIZATION i WP_L NOT OCCUR SECTION VII - SPILL OR LEAK PROCEDURES STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED i WASTE DISPOSAL METHOD SPECIAL SECTION VIII t PROTECTION INFORMATION C RESPIRATORY PROTECTION(Speci/y.type) VENTILATION LOCAL EXHAUST SPECIAL MECHANICAL(General) OTHER PROTECTIVE GLOVES EYE PROTECTION OTHER PROTECTIVE EQUIPMENT SECTION IX - SPECIAL PRECAUTIONS PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING ,I OTHER PRECAUTIONS Disclaimer of Liability The Information In this MSDS was obtained from sourges which we believe are tellable.HOWEVER,THE INFORMATION IS PROVIDED WITHOUT ANY REPRESENTATION OR WARRANTY,EXPRESS OR IMPLIED,REGARDING ITS ACCURACY OR CORRECTNESS. The conditions ormelhods of handling,storage,use and disposal of the product are beyond ourcontrol and may be beyond our knowledge.FOR THIS AND OTHER REASONS,WE DO NOT ASSUME RESPONSIBILITY AND EXPRESSLY DISCLAIM LIABILITY FOR LOSS,DAMAGE OR EXPENSE ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE HANDLING,STORAGE,USE OR DISPOSAL OF THE PRODUCT. L SDS Glossary _-. MSDS Glossary Alkali Any chemical substance that forms soluble soaps with fatty acids. Alkalis are also referred to The following glossary presents brief explanations as bases. They may cause severe burns to the of acronyms and common terms frequently.used skin. Alkalis turn.litmus paper blue and have pH by chemical manufacturers in their MSDS's. values from 8 to 14. ACGIH American Conference of Governmental In Allergic Reaction An abnormal physiological dustrial Hygienists is an organization of profes- response to chemical or physical stimuli. sional personnel in governmental agencies or educational institutions engaged in occupational Amenorrhea Absence of menstruation. safety and health programs. ACGIH establishes recommended occupational exposure limits for Anesthetic A chemical that causes a total or par- chemical substances and physical agents. See tial loss of sensation. Overexposure to anesthet- TLV. ics can cause impaired judgment, dizziness, drowsiness, headache, unconsciousness, and Acid Any chemical that undergoes dissociation in even.death. Examples include alcohol, paint water with the formation of hydrogen ions. Acids remover, and degreasers. have a sour taste and may cause severe skin burns. Acids turn litmus paper red and have pH ANSI American National Standards Institute is a. values of 0 to 6. privately funded, voluntary membership organiza- tion that identifies industrial and public needs for - Acute Effect Adverse effect on a human or national consensus standards and coordinates. animal that has severe symptoms developing development of such standards. rapidly and coming quickly to a crisis. Antidote A remedy to relieve, prevent, or counter- Acute Toxicity Acute effects resulting from a sin- act the effects of a poison. gle dose of, or exposure to, a substance. Or- dinarily used to denote effects in experimental API American Petroleum Institute is a organization animals. of the petroleum industry. Adenocarcinoma A tumor with glandular (secret- Appearance -A description of a substance at nor- ing) elements. mal room temperature and normal atmospheric conditions. Appearance includes the color, size, Adenosis Any disease of a gland, and consistency of a material. Adhesion A union of two surfaces that are nor- Aquatic Toxicity The adverse effects to marine mally separate. life that result from being exposed to a toxic sub- stance. Aerosol A fine aerial suspension of particles suffi- ciently small in size to confer some degree of stability from sedimentation (e.g., smoke or fog)., consciousness or death by suffocation (lack of oxygen). Most simple asphyxiants are harmful to Air-Line Respirator 'A respirator that is connected the body only when they become so concentrat- - to a compressed breathable air source by a hose ed that they reduce oxygen in the air (normally of small inside diameter. The air is delivered con- about 21 percent) to dangerous levels (18 per- tinuously or intermittently in a sufficient volume to cent or lower). Asphyxiation is one of the prin- meet the wearer's breathing requirements. cipal potential hazards of working in confined and enclosed spaces. Air-Purifying Respirator A respirator that uses chemicals to remove specific gases and vapors ASTIVI American Society for Testing and Materials s from the air or that uses a mechanical filter to re- is the world's largest source of voluntary consen- move particulate matter. An air-purifying respira- sus standards for materials, products, systems, for must only be used when there is sufficient and services. ASTM is a resource for sampling oxygen to sustain life and the air contaminant and testing methods, health and safety aspects level is below the concentration limits of the of materials, safe performance guidelines, effects device. of physical and biological agents and chemicals. II-1 Asymptomatic Showing no symptoms. Allyl Chloride 113°F Atm Atmosphere, a unit of pressure equal to 760 Ethylene Glycol 387°F mmiHg (mercury) at sea level. Atmosphere—Supplying Respirator A respirator B®M' or fBuiVlanes Bureau of Mines, U.S. Depart- ment of Interior. that provides breathable air from a source in- dependent of the surrounding atmosphere. There Bonding The interconnecting of two objects by are two types: air-line and sell-contained breath- means of a clamp and bare wire. Its purpose is ing apparatus. to equalize the electrical potential between the objects to prevent a static discharge when trans- Auto-Ignition Temperature The temperature to ferring a flammable liquid from one container to which a closed, or nearly closed container must another. The conductive path is provided by be heated in order that the flammable liquid, clamps that make contact with the charged ob- when introduced into the container, will ignite ject and a low resistance flexible cable which al- spontaneously or burn. lows the charge to equalize. See Grounding. BAL British Anti-Lewisite - A name for the drug Bulk Density Mass of powdered or granulated dimecaprol—a treatment for toxic inhalations. solid material per unit of volume. Base A substance that (1) liberates hydroxide C Centigrade, a unit of temperature. (OH) ions when dissolved in water, (2) receives hydrogen ions from a strong acid to forma weak- Ceiling Limit.(PEL or TLV) The maximum allowa- er acid, and (3) neutralizes an :acid. Bases react ble human exposure limit for an airborne sub- with acids to form salts and water. Bases have a stance which is not to be exceeded even pH greater than 7 and turn litmus paper blue. momentarily. Also see PEL and TLV. See;Alkali. BCM Blood-clotting mechanism effects. ca Approximately. Benign Not recurrent or not tending to progress. CAA Clean Air Act was enacted to regu- Not cancerous. late/reduce air pollution. CAA is administered by U.S. Environmental Protection Agency. Biodegradable Capable of being broken down into innocuous products by the action of living Carcinogen A substance or agent capable of... things. causing or producing cancer in mammals, includ- : ing humans. A chemical is considered to be a Biopsy Removal and examination of tissue from carcinogen if the living body. _ (a) It has been evaluated by the International BLD Blood effects. Agency for Research on Cancer (IARC) and found to be a carcinogen or potential carcino- Boiling Points.—BP The temperature at which a gen; or liquid changes to a vapor state at a given Ares- sure. The boiling point usually expressed in (b) It is listed as a carcinogen or potential car- degrees Fahrenheit at sea level pressure (760 cinogen in the Annual Report on Carcino- mmHg, or one atmosphere). For mixtures, the in- �gens published by the National Toxicology - itial boiling point or the boiling range may be Program (NTP) (latest edition); or given. . (c) It is regulated by OSHA as a carcinogen. Flammable materials with low boiling points gener- ally present special fire hazards. Some approxi- mate boiling points: Carcinoma. A malignant tumor. A form of cancer. Propane 44°F CAS Chemical Abstracts Service is an organiza- Anhydrous Ammonia =28°F tion under the American Chemical Society. CAS Butane 31°F abstracts and indexes chemical literature from all over the world in "Chemical Abstracts." "CAS Gasoline 100°F Numbers" are used to identify specific chemicals or mixtures. -2 r Caustic See Alkali. lay pertinent emergency information concerning specific chemicals on requests from individuals. cc Cubic centimeter is a volume measurement in CHEMTREC has a 24-hour toll-free telephone the metric system that is equal in capacity to one number (800-424-9300) to help_respond to chemi- milliliter (ml). One quart is about 946 cubic cen- cal transportation emergencies. timeters. Chronic Effect An adverse effect on a human or Central Nervous System The brain and spinal animal body, with symptoms that develop slowly cord. These organs supervise and coordinate the over a long period of time or that recur frequent- activity of the entire nervous system. Sensory im- ly. Also see Acute. pulses are transmitted into the central nervous system, and motor impulses are transmitted out. Chronic Exposure Long-term contact with a sub- stance. . CERCLA Comprehensive Environmental Response, Compensation, and Liability Act of Chronic Toxicity Adverse (chronic) effects result- 1980. The Act requires that the Coast Guard Na- ing from repeated doses of or exposures to a tional Response Center be notified in the event substance over a relatively prolonged period of of a hazardous substance release. The Act also time. Ordinarily used to denote effects in ex- provides for a fund (the Superfund) to be used perimental animals. for the cleanup of abandoned hazardous waste disposal sites. Clean Air Act See CAA. CFR Code of Federal Regulations. A collection of Clean Water Act Federal law enacted to regu- the regulations that have been promulgated un- late/reduce water pollution. CWA is administered der United States Law. by EPA. Chemical An element (e.g., chlorine) or a CMA Chemical Manufactures Association. See compound (e.g.,sodium bicarbonate) produced by CHEMTREC. chemical reaction. CO Carbon monoxide is a colorless, odorless, Chemical Cartridge Respirator A respirator that flammable, and very toxic gas produced by the uses various chemical substances to purify in- incomplete combustion of carbon..It is also a haled air of certain gases and vapors. This type byproduct of many chemical processes. A chemi- respirator is effective for concentrations no more cal asphyiant; it reduces the blood's ability to than ten times the TLV of the contaminant, if the carry oxygen. Hemoglobin absorbs CO two contaminant has warning properties (odor or irri-. hundred times more readily than it does oxygen. tation) below the TLV. CO2 Carbon dioxide is a heavy, colorless gas that Chemical Family A group of single elements or is produced by the combustion and decomposi- compounds with a common general name. Exam- tion of organic substances and as a byproduct of ple: acetone, methyl ethyl ketone (MEK), and many chemical processes. CO2 will not burn and methyl isobutyl ketone (MISK) are of the "Ke- is relatively nontoxic (although high concentra- tone" family; acrolein, furfural, and acetaldehyde tions, especially in confined spaces, can create are of the "aldehyde" family. hazardous oxygen-deficient environments). Chemical Name The name given to a chemical in COC Cleveland Open Cup is a flash point test the nomenclature system developed by the Inter- national Union of Pure and Applied Chemistry Combustible A term used by NFPA, DOT, and (IUPAC) or.the Chemical Abstracts Service(CAS). The scientific designation of a chemical-or others to classify certain liquids that will burn, on the basis of flash points. Both NFPA and DOT a name that will clearly identify the chemical for hazard evaluation purposes. generally define "combustible liquids" as having a flash point of 100OF ( 37.80C).or higher but be- Chemical Pneumonitis. Inflammation of the lungs low 200OF (93.30C). Also see "flammable." Non caused by accumulation of fluids due to chemical liquid substances such as wood and paper are irritation, classified as "ordinary combustibles" by NFPA. CHEMTREC Chemical Transportation Emergency Combustible Liquid Any liquid having a flash- Center is a national center established by the point at or above 100OF (37.80C), but below Chemical Manufacturers Association (CMA) to re- 2001 F (93.3 C), except any mixture having com- II-3 ponents with flashpoints of 200°F (93.3°C) or Appendix A to 49 CFR Part 173, it destroys or higher, the total volume of which makes up changes irreversibly the structure of the tissue at ninety-nine (99) percent or more of the total the site of contact following an exposure period volume of the mixture. of 4 hours. This term shall not refer to action on inanimate surfaces. Common Name Any means used to identify a chemical other than its chemical name (e.g., CPSC Consumer Products Safety Commission code name, code number, trade name, brand has .responsibility for regulating hazardous name, or generic name). See Generic. materials when they appear in consumer goods. For CPSC purposes, hazards are defined in the Compressed Gas: Hazardous Substances Act and the Poison Prevention Packaging Act of 1970. (a) A gas or mixture of gases having, in a con- tainer, an absolute pressure exceeding 40 Curettage Cleansing of a diseased surface. pounds per square inch (psi) at 70OF (21.3°C); or Cutaneous Toxicity See "Dermal Toxicity." (b) A gas or mixture of gases having, in a con- CWA Clean Water Act was enacted to regu- tainer, an absolute pressure exceeding 104 late/reduce water pollution. It is administered by psi at 1300F.(54.4°C) regardless of the pres- EPA. sure at 70OF (21.1°C); or Cyst A sac containing a liquid. Most cysts are (c) A liquid having a vapor pressure exceeding harmless. 40 psi at 100OF (37.8°C) as determined by ASTM D-323-72. Cytology The scientific study of cells. C'onc. Sea Concentration. Decomposition Breakdown of a material or sub- stance (by heat, chemical reaction, electrolysis, Concentration The relative amount of a sub- decay, or other processes) into parts or elements stance when combined or mixed with other sub- or simpler compounds. stances. Examples: 2 ppm hydrogen sulfide in air, or a 50 percent caustic solution. Density The mass (weight) per unit volume of a substance. For example, lead is much more Conditions to Avoid Conditions encountered dur- dense than aluminum. ing handling or storage that could cause a sub- stance to become unstable. Depressant A substance that reduces a bodily Confined Space An area that has limited open- functional activity or an instinctive desire, such as P Y p appetite. ings for entry and exit that would. make escape difficult in an emergency, has a lack of ventila- Dermal Relating to the skin. tion, contains known and potential hazards, and is.not.intanded nor designated for continuous hu- Dermal Toxicity Adverse effects resulting from man occupancy. skin exposure to a substance. Ordinarily used to denote effects in experimental animals. Conjunctivitis Inflammation of the conjunctiva, the delicate membrane that lines the eyelids and DHHS U.S. Department of Health and Human covers the eyeballs. Services (replaced U.S. Department of Health, Education and Welfare). NIOSH and the Public Container Any bag, barrel, bottle, box,can, Health Service (PHS) are part of DHHS. cylinder, drum, reaction vessel, storage tank, or , the like that contains a hazardous chemical. For Dike A barrier constructed to control or confine purposes of MSDS or HCS, pipes or piping sys- hazardous substances and prevent them from en- tems are not considered to be containers. tering sewers, ditches, streams, or other flowing waters. Corrosive A chemical that causes visible destruc- tion of, or irreversible alterations in, living tissue Dilution Ventilation Air flow designed to dilute by chemical action at the site of contact. For contaminants to acceptable levels. Also see example, a chemical is considered to be corro- general ventilation or exhaust. sive if, when tested on the intact skin of albino rabbits by the method described by the DOT in - II-4 DOL U.S. Department of Labor. OSHA and MSHA - FAST evaporating if greater than 3.0. Exam. are part of DOL. - pies: Methyl Ethyl Ketone = 3.8, Acetone = 5.6, Hexane = 8.3. DOT U.S. Department of Transportation regulates transportation of chemicals and other substances. — MEDIUM evaporating if 0.8 to 3.0. Exam- pies: 190 proof (95%) Ethyl Alcohol = 1.4, Dry Chemical A powdered fire-extinguishing Naphtha = 1.4, MIBK = 1.6. agent usually composed of sodium bicarbonate, potassium bicarbonate, etc. - SLOW evaporating if less than 0.8. Exam- pies: Xylene = 0.6, Isobutyl Alcohol = 0.6, Dysmenorrhea Painful menstruation. Normal Butyl Alcohol = 0.4, Water = 0.3, Mineral Spirits = 0.1. Dsyplasia An abnormality of development. Explosive A chemical that causes a sudden, Dyspnea A sense of difficulty in breathing; short- almost instantaneous release of pressure, gas, ness of breath. and heat when subjected to sudden shock, pres- sure, or high temperature. Ectopic pregnancy The fertilized ovum becomes implanted outside of the uterus. Exposure or Exposed State of being open and vulnerable to a hazardous chemical by inhalation, Edema An abnormal accumulation of clear watery ingestion, skin contact, absorption, or any other fluid, in the tissues. course; includes potential (accidental or possible) exposure. Endocrine glands Glands that regulate body ac- tivity by secreting hormones. Extinguishing Media The firefighting substance to be used to control a material in the event.of a.•..-.. Endometrium The mucous membrane lining the fire. It is usually identified by its generic name, uterus. such as fog, foam, water, etc. Environmental Toxicity Information obtained as a Eye Protection Recommended safety glasses, result of conducting environmental testing chemical splash goggles, face shields, etc. to be- designed to study the effects on aquatic and utilized when handling a hazardous material. - plant life. F Fahrenheit is a scale for measuring tempera- EPA U.S. Environmental Protection Agency. ture. On the Fahrenheit scale, water boils at 212°F and freezes at 32°F. Epidemiology Science concerned with the study of disease in a general population. Determination f/cc Fibers per cubic centimeter of air. - of the incidence (rate of occurrence) and distribu- tion of a particular disease (as by age, sex, or FDA U.S. Food and Drug Administraf`ion. occupation) which may provide information about the cause of the disease. Fetal Pertaining to the fetus. Epithelium The covering of internal and external Fetus The developing young in the uterus from surfaces of the body. the seventh week of gestation until birth. .Estrogen Principal female sex hormone. Fibrosis An abnormal thickening of fibrous con- nective tissue, usually in the lungs. _ Evaporation Rate The rate at which a material will vaporize (evaporate) when compared to the FIFRA Federal Insecticide, Fungicide, and Roden- known rate of vaporization of a standard material. ticide Act requires that certain useful poisons, The evaporation rate can be useful in evaluating such as chemical pesticides, sold to the public the health and fire hazards of a material. The contain labels that carry health hazard warnings designated standard material is usually normal to protect users. It is administered by EPA. butyl acetate (NBUAC or.n-BuAc), with a vapori- zation rate designated as 1.0. Vaporization rates First Aid Emergency measures to be taken when of other solvents or materials are then classified a person is suffering from overexposure to a as: hazardous material, before regular medical help can be obtained. _ II-5 Flammable A chemical that includes one of the (c) Setaflash Closed Tester (see American Na- following categories: tional Standard Method of Test for Flash Point by Setaflash Closed Tester [ASTM D (a) "Aerosol, flammable." An aerosol that, when 3278-781). tested by the method described in 16 CFR 1500.45, yields a flame projection exceeding Foreseeable Emergency Any potential occur- 18 inches at full valve opening, or a flash- rence such as, but not limited to, equipment back (a flame extending back to the valve) at failure, rupture of containers, or failure of control any degree of valve opening; equipment which could result in an uncontrolled release of a hazardous chemical into the (b) "Gas, flammable." (1) A gas that, at ambient workplace. temperature and pressure, forms a flammable mixture with air at a concentration of 13 per- Formula The scientific expression of the chemical cent by volume or less; or (2) A gas that, at composition of a material (e.g., water is H2O, . ambient temperature and pressure, forms a sulfuric acid is H2SO4, sulfur dioxide is S02). .range of flammable mixtures with air wider than 12 percent by volume, regardless of the Fume A solid condensation particle of extremely lower limit; small diameter, commonly generated from molten metal as metal fume. (c) "Liquid, flammable." Any liquid having a flashpoint below 100OF (37.80C), except any g Gram is a metric unit of weight. One ounce mixture having components with flashpoints U.S. (avoirdupois) is about 28.4 grams. of 100OF (37.8°C) or higher, the total of which make up 99 percent.or more of the General Exhaust A system .for exhausting a►r con- total volume of mixture. taining contaminants from a general work area. Also see Local Exhaust. - (d) "Solid, flammable." A solid, other than a blasting agent or explosive as defined in Generic Name A designation or identification 1910.109(a), that is liable to cause fire used to identify a chemical by other than its through friction, absorption of moisture, spon- chemical name (e.g., code name, code number, taneous chemical change, or retained heat trade name, and brand name). from manufacturing or processing, or which can be ignited readily and when ignited burns Genetic Pertaining to or carried by genes. so vigorously and persistently as to create a Hereditary. serious hazard. A solid is a flammable solid if, when tested by the method described in 16 Gestation The development of the fetus in the CFR 1500.44, it ignites and burns with a self- uterus from conception to birth; pregnancy. sustained flame at a rate greater than one- tenth of an inch per second along its major g/kg Grams per kilogram is an expression of dose axis. used in oral and dermal toxicology testing to denote grams of a substance dosed per kilogram Flashback Occurs when flame from a torch burns of animal body weight. Also see "kg" (kilogram). back into the tip, the torch, or the hose. It is often accompanied by a hissing or squealing Grounding The procedure used to carry an elec- sound with a smoky or sharp-pointed flame. trical charge to ground through a conductive path. A typical ground may be connected directly Flashpoint The minimum temperature at which a to a conductive water pipe or to a grounding bus liquid gives off a vapor in sufficient concentration and ground rod. See Bonding. to ignite when tested by the following methods: Gynecology The study of the reproductive organs (a) Tagliabue Closed Tester (see American Na- in women. tional Standard Method of Test for Flash Point by Tag Closed Tester, Z11.24 1979 Hand Protection Specific type of gloves or other [ASTM D56-79]). hand protection required to prevent harmful ex- posure to hazardous materials. (b) Pensky-Martens Closed Tester (see American National Standard Method of Test for Flash Hazardous Chemical Any chemical whose Point by. Pensky-Martens Closed Tester, presence or use is a physical hazard or a health Z11.7-1979 [ASTM D93-791). hazard. d 11-6 l� Hazardous Warning Words, pictures, symbols, or Hormones Act as chemical messengers to body combination thereof presented on a label or other organs. appropriate form to inform of the presence of var- ious materials. Hyperplasia Increase in volume of a tissue or or- gan caused by the growth of new cells. HCS Hazard Communication Standard is an OSHA regulation issued under 29 CFR Part IARC International Agency for Research on 1910.1200. Cancer. Health Hazard A chemical for which there is sig- Ignitable Capable of being set afire. nificant evidence, based on at least one study conducted in accordance with established scien- Impervious A material that does not allow another tific principles, that acute or chronic health ef- substance to pass through or penetrate it. fects may occur in exposed employees. The term "health hazard" includes chemicals that are car- Incompatible Materials that could cause danger- cincgens, toxic or highly toxic agents, reproduc- ous reactions by direct contact with one another. _.. tive toxins, irritants, corrosives, sensitizers, hepatotoxins, nephrotoxins, neurotoxins, agents Ingestion Taking in by the mouth. that act on the hematopoietic system, and agents that damage the lungs, skin, eyes, or mucous Inhal. See inhalation. membranes. Inhalation Breathing in of a substance in the form Hemoglobin An iron-containing conjugated protein of a gas, vapor, fume, mist, or dust. or respiratory pigment occurring in the red blood cells of vertebrates. Inhibitor A chemical added to another substance to prevent an unwanted chemical change. Hematoma A blood clot under the surface of the skin. Insol See insoluble. Hematopoietic System The blood-forming Insoluble Incapable of being dissolved in a liquid. mechanism of the human body. Intrauterine Within the uterus. Hematuria The presence of blood in the urine. Irritant A chemical, which is not corrosive, that Hepatotoxi,n A substance that causes injury to causes a reversible inflammatory effect on living` the liver. tissue by chemical action at the site of contact: A chemical is a skin irritant if, when tested on the Highly toxic A chemical in any of the following intact skin of albino rabbits by the methods of 16 categories: CFR 1500 41 for 4 hours exposure or by other appropriate techniques, it results in an empirical (a) A chemical with a median lethal dose (LD50) score of 5 or more. A chemical is an eye irritant of 50 milligrams or less per kilogram of body if so determined under the procedure listed in 16 weight when administered orally to albino rats CFR 1500.42 or other appropriate techniques. weighing between 200 and 300 grams each. Irritating As defined by DOT, a property of a (b) A chemical with a median lethal dose (LD50) liquid or solid substance which, upon contact of 200 milligrams or less per kilogram of body. with fire or when exposed to air, gives off weight when administered by continuous con- dangerous or intensely irritating fumes (not in- tact for 24 hours (or less if death occurs cluding poisonous materials). See Poison, Class within 24 hours) with the bare skin of albino. A and Poison, Class B. rabbits weighing between 2 and 3 kilograms each. kg Kilogram is a metric unit of weight, about 2.2 U.S. pounds. Also see "g/kg," "g," and "mg." (c) A chemical that has a median lethal concen- tration (LC50) in air of 200 parts per million by L Liter is a metric unit of capacity. A U.S. quart is volume or less of gas or vapor, or 2 milli-' about 9/10 of a liter. grams per liter or less of mist, fume, or dust, when administered by continuous inha- Lacrimation . Secretion and discharge of tears. laticn for 1 hour (or less if death occurs with-. in 1 hour) to albino rats weighing between Label Notice attached to a container, bearing in- 200 and 300 grams each. formation concerning its contents. ~ I I-7 Lactation The.secretion of milk.by the breasts. Malignant Tending to become progressively worse and to result in death. LC Lethal concentration is the concentration of a substance being tested that will kill. Mammary Pertaining to the breast. LCL Lethal concentration, low, lowest concentra- Mechanical Exhaust A powered device, such as tion of a gas or vapor capable of killing a speci- a motor-driven fan or air steam venturi tube, for fied species over a specified time. exhausting contaminants from a workplace, ves- sel, or enclosure. LC50 The concentration of a material in air that will kill 50 percent of a group.of test animals with . Mechanical Filter Respirator A respirator used to a single exposure (usually 1 to 4 hours). The protect against airborne particulate matter like LC50 is expressed as parts of material per million dusts, mists, metal fume, and smoke. Mechanical parts of air, by volume (ppm) for gases and filter respirators do not provide protection against vapors, or as micrograms of material per liter of gases, vapors, or oxygen deficient atmospheres. air (g/1) or milligrams of material per cubic meter of air (mg/m3) for dusts and mists, as well as for Melting Point The temperature at which a solid gases and vapors. substance changes to a liquid state. LID Lethal dose is the quantity of a substance be Menorrhagia Excessive menstruation. ing tested that will kill. Menstruation Periodic discharge of blood from _ LDL Lethal dose low, lowest administered dose of the vagina of a nonpregnant uterus. a material capable of killing a specified test species. Metabolism Physical and chemical processes tak- ing place among the ions, atoms, and molecules -- -, LD50, A single dose of a material expected to kill of the body. 50 percent of a group of test animals. The LD50 dose is usually expressed as milligrams or grams Metastasis The transfer of disease from one or- of material per kilogram of animal body weight gan or part to another not directly connected with (mg/kg or g/kg). The material may be ad- it. ministered by mouth or applied to the skin. Meter A unit of length; equivalent to 39.37 inches. - LEL, or LFL Lower explosive limit, or lower flam- mable limit, of a vapor or gas; the lowest concen- mg Milligram is a metric unit of weight that is-one- tration (lowest percentage of the substance in air) thousandth of a gram. that will produce a flash of fire when an ignition source (heat, arc,.or flame) is present. At concen- mg/kg Milligrams of substance per kilogram.of trations lower than the LEL, the mixture is too body weight is an expression of toxicological "lean" to burn. Also see "LIEL." dose. Lesion Any damage to a tissue. mg/mz Milligrams per cubic meter is a unit for ex- pressing concentrations of dusts, gases, or mists Urn Linear feet per minute, a unit of air,velocity. in air. - Local Exhaust A system for capturing and ex- Micron (Micrometer) A unit of length equal to one- hausting contaminants from the air at the point millionth of a meter; approximately 0.000039 of where the contaminants are produced (welding, an inch. grinding, sanding, other processes or operations). Also see General Exhaust. Mist Suspended liquid droplets generated by con- densation from the gaseous to the liquid state, or M Meter is a unit of length in the metric system. by breaking up a liquid into a dispersed state, One meter is about 39 inches. such as splashing, foaming or atomizing. Mist is formed when a finely divided liquid is suspended m3 Cubic meter is a metric measure of volume, in air. approximately 35.3 cubic feet or 1.3 cubic yards. Mixture Any combination of two or more chemi- Malaise A feeling of general discomfort, distress, cals if the combination is not, in whole or part, or uneasiness, an out-of-sorts feeling. the result of a chemical reaction. 9 -8 r Mid Mild NFPA technical committees. Among these is NFPA 704M, the code for showing hazards of ml Milliliter is a metric unit of capacity, equal in materials as they might be encountered under volume to 1 cubic centimeter (cc), or approxi- fire or related emergency conditions, using the mately one-sixteenth of a cubic inch. One- familiar diamond-shaped label or placard with ap- thousandth of a liter. propriate numbers or symbols. mmHg Millimeters (mm) of mercury (Hg) is a unit Neo See neoplasia. of measurement for low pressures or partial vacuums. Neonatal .The first 4 weeks after birth. Molecular Weight Weight (mass) of a molecule Neoplasia A condition characterized by the based on the sum of the atomic weights of the presence of new growths (tumors). atoms that make up the molecule: . Nephrotoxin A substance that causes injury to mppcf Million particles per cubic foot is a unit for the kidneys. expressing concentration of particles of a sub- stance suspended in air. Exposure limits for Neurotoxin A material that affects the nerve cells mineral dusts (silica, graphite, Portland cement; and may produce emotional or behavioral abnor- nuisance dusts, and others), formerly expressed malities. as mppcf, are now more commonly expressed in mg/m3. Neutralize To eliminate potential hazards by inac- tivating strong acids, caustics, and oxidizers. For - - MSDS Material Safety Data Sheet. example, acids can be neutralized by adding an appropriate amount of caustic substance to the MSHA Mine Safety and Health Administration, spill. U.S. Department'of Labor. ng. nanogram, one-billionth of a gram. Mutagen A substance or agent capable of altering the genetic material in a living cell. NIOSH National Institute for Occupational Safety --- and Health, U.S. Public Health Service, U.S. MW See molecular weight. Department of Health and Human Services (DFIHS), among other activities, tests and certi- N2 Nitrogen is a colorless, odorless, and tasteless fies respiratory protective devices and air sam- gas that will not burn and will not support com- pling detector tubes, recommends occupational bustion: The earth's atmosphere (air) is about 78 exposure limits for various substances, and as- percent nitrogen. At higher concentrations, nitro- sists OSHA and MSHA in occupational safety gen can displace oxygen and become a lethal and health investigations and research. asphyxiant. See Asphyxiant. Nonflammable Not easily ignited, or-if ignited, not Narcosis A state of stupor, unconsciousness, or burning rapidly. arrested activity produced by the influence of nar- cotics or other chemicals. Non-Sparking Tools Tools made from beryllium- copper or aluminum-bronze greatly reduce the Nausea Tendency to vomit, feeling of sickness at possibility of igniting dusts, gases, or flammable the stomach. vapors. Although these tools may emit some sparks when striking metal, the sparks have a NCI National Cancer Institute is that part of the low heat content and are not likely to ignite most -- National Institutes of Health that studies cancer flammable liquids. causes and prevention as well as diagnosis, treatment, and rehabilitation of.cancer patients. NO, Oxides of nitrogen which are undesirable air pollutants. NO emissions are regulated by EPA NFPA National Fire Protection Association is an under the Clean Air Act. international.membership organization which pro- -motesrmproves fire protection and prevention, NPIRS National Pesticide Information Retrieval and establishes safeguards against. loss of life System is an'automated data base operated by and property by fire. Best known on.the industrial Purdue University containing information on EPA scene for the National Fire Codes-16 volumes registered pesticides, including reference file of codes, standards, recommended practices and MSDS's. manuals developed (and periodically updated) by _ 11.9 r NRC National Response Center is a notification Pathologic Pertaining to or caused by disease. aF center that must be called when significant oil or chemical spills or other environment-related acci- Pathology Scientific study of alterations produced dents occur. The toll-free telephone number is by disease. .-800-424-8802. PEL Permissible Exposure Limit is an occupation- NTP National Toxicology Program. The NTP pub- al exposure limit established by OSHA's regulato- lishes an Annual Report on Carcinogens. ry authority. It may be a time-weighted average (TWA) limit or a maximum concentration ex- Odor A description of the. smell of the substance. posure limit. Odor Threshold The lowest concentration of a Percent Volatile Percent volatile by volume is the substance's vapor, in air, that can be smelled. percentage of a liquid or solid (by volume) that will evaporate at an ambient temperature of 70°F Olfactory Relating to the sense of smell. (unless some other temperature is specified). Ex- amples: butane, gasoline, and paint thinner Oral Used in or taken into the body through the (mineral spirits) are 100 percent volatile; their in- mouth. dividual evaporation rates vary, but in time, each will evaporate completely. Oral Toxicity Adverse effects resulting from tak- ing a substance into the body by mouth. Ordinari- pH The symbol relating the hydrogen ion (H+) ly,used to denote effects in.experimental animals. concentration to that of a given standard solution. A pH of 7 is neutral Numbers increasing from 7 Organic Peroxide An organic compound that to 14 indicate greater alkalinity. Numbers contains'the bivalent -O-O structure and may be decreasing from 7 to 0 indicate greater acidity. considered a structural derivative of hydrogen peroxide where one or both of the hydrogen Physical Hazard Means a chemical for which atoms has been replaced by an organic radical. there is scientifically valid evidence that it is a combustible liquid, a compressed gas, explosive, Organogenesis The formation of organs during flammable, an organic peroxide, an oxidizer, development. pyrophoric, unstable (reactive) or water-reactive. OSHA Occupational Safety and Health Administra- Placenta A structure that grows on the wall of the tion, U.S. Department of Labor. uterus during pregnancy, through which the fetus is nourished. . Ovary The female sex gland in which ova are formed. - PMCC Pensky-Martens Closed Cup. See Overexposure Exposure to a hazardous material Flashpoint. beyond the allowable exposure limits. Pneumoconiosis A condition of the lung in which there is permanent deposition of particulate mat- Oxidation In a literal sense, oxidation is a reaction ter and the tissue reaction to its presence. It may in which a substance combines with oxygen range from relatively harmless forms of iron oxide provided by an oxidizer or oxidizing agent. See deposition to destructive forms of silicosis. Oxidizing Agent. Poison, Class A A DOT term for,extremely dan- Oxidizer A chemical other than a blasting agent gerous poisons-poisonous gases or liquids that, or explosive that initiates or promotes combustion in very small amounts, either as gas or as vapor in other materials, causing fire either by itself or of the liquid, mixed with air, are dangerous to through the release of oxygen or other gases. life. Examples: phosgene, cyanogen, hydrocyanic acid, nitrogen peroxide. Oxidizing Agent A chemical or substance that brings about an oxidation reaction. The. agent Poison, Class R A DOT term for liquid, solid, may (1) provide the oxygen to the substance be- paste or semisolid substances—other than Class ing oxidized (in which case the agent has to be A poisons or irritating materials—that are known oxygen or contain oxygen), or (2) it may receive (or presumed on the basis of animal tests) to be electrons being transferred from the substance so toxic to humans that they are a hazard to undergoing oxidation (chlorine is a good oxidizing health during transportation. agent for electron-transfer purposes, even though it contains no oxygen). II-10 1 I - Polymerization A chemical reaction in which one Reducing agent In a reduction reaction (which al" or more small molecules combine to form larger ways occurs simultaneously with an oxidation molecules. A hazardous polymerization is such a reaction) the reducing agent is the chemical or reaction that takes place at a rate that releases substance which (1) combines with oxygen or large amounts of energy. If hazardous polymeri- (2) loses electrons to the reaction. See Oxidation. zation can occur with a given material, the MSDS usually will list conditions that could start the REL The NIOSH REL (Recommended Exposure reaction and—since the material usually contains Limit) is the highest allowable airborne concentra. a polymerization inhibitor—the length of time dur- tion which is not expected to injure the workers. ing which the inhibitor will be effective. It may be expressed as a ceiling limit or as a time-weighted hied average (TWA). 9 9 ( ) ppb Parts per billion is the concentration of a gas or vapor in air—parts (by volume) of the gas or . Reproductive Toxin Substances that affect either vapor in a billion parts of air. Usually used to ex- male or female reproductive systems and may press extremely low concentrations of unusually impair the ability to-have children. toxic gases or vapors; also the concentration of a particular substance in a liquid or solid. Respiratory Protection Devices that will protect the wearer's respiratory system from overex-. ppm Parts per million is the concentration of a posure by inhalation to airborne contaminants. gas or vapor in air—parts (by volume) of the gas Respiratory protection is used when a worker or vapor in a million parts of air; also the.concen- must work in an area where he/she might be.ex- tration of a particulate in a liquid or solid. posed to concentration in excess of the allowable exposure limit. Y Prenatal Preceding birth. Respiratory System The breathing system that psi Pounds per square inch (for MSDS purposes) includes the lungs and the air passages (trachea is the pressure a material exerts on the walls of or "windpipe," larynx, mouth, and nose) to the a confining vessel or enclosure. For technical ac- air outside the body, plus the associated nervous curacy, pressure must be expressed as psig and circulatory supply. (pounds per square inch gauge) or psia (pounds per square inch absolute; that is,.gauge.pressure Routes of Entry The means by which material plus sea level atmospheric pressure; or psig plus may gain access to the body, for example, inha- approximately 14.7 pounds per square inch). Also lat ion, ingestion, and skin contact. see mmHg. RCRA Resource Conservation and Recovery Act Pul See pulmonary. is environmental legislation aimed at controlling the generation, treating, storage, transportation Pulmonary Relating to, or associated with, the and disposal of hazardous.wastes. It is ad- lungs. ministered by EPA. ` Pulmonary Edema Fluid irr the lungs. Sarcoma A tumor that is often malignant. Pyrophoric A chemical that will ignite spontane- Self-Contained Breathing Apparatus A respiratN ously in air at a temperature of 130F (54.4°C) or ry protection device that consists of a supply or Z below. means of respirable air, oxygen, or oxygen- generating material, carried by the wearer. Reaction A chemical transformation or change. The interaction of two or more substances to Sensitizer A chemical that causes a substantial form new substances. proportion of exposed people or animals to de- velop an allergic reaction in normal tissue after Reactive See Unstable. repeated exposure to the chemical: Reactivity Chemical reaction with the release of SETA Setaflash Closed Tester. See Flashpoint. energy. Undesirable effects—such as pressure buildup, temperature increase, formation of nox- Silicosis A disease of the lungs (fibrosis) caused ious, toxic or Corrosive byproducts—may occur by the Inhalation of silica dust. because of the reactivity of a substance to heat- ing, burning, direct contact with other materials, Skn Skin. or other conditions in use or in storage. II-11 "Skin" A notation (sometimes used with PEL or ing, or that will oxidize to generate heat and TLV exposure data) that indicates that the stated ignite, or that absorbs moisture to generate heat substance may be absorbed by the skin, mucous and ignite. membranes, and eyes—either airborne or by direct contact—and that this additional exposure Squamous Scaly or platelike. must be considered part of the total exposure to avoid exceeding the PEL or TLV for that sub- Stability The ability of a material to remain un- stance. changed. For MSDS purposes, a material is sta- ble if it remains in the same form under expected Skin Absorption Ability of some hazardous chem- and reasonable conditions of storage or use. J icals to pass directly through the skin and enter Conditions that may cause instability (dangerous the bloodstream. change) are stated; for example, temperatures i above 1501F.; shock from dropping. I Skin Sensitizer See Sensitizer. STEL Short-Term Exposure Limit (ACGIH termi- Skin Toxicity See Dermal Toxicity. nology). See TLV. i Solubility in Water A term expressing the per- Stenosis Narrowing of a body passage or centage of a material (by weight) that will dis- opening. solve in water at ambient temperature. Solubility information can be useful in determining spill Steroid A complex molecule among which are the cleanup methods and reextinguishing agents and male and female sex hormones. methods fora material. Subcutaneous Beneath the layers of the skin. Solvent A substance, usually a liquid, in which other substances are dissolved. The most com- Supplied-Air Respirators Air line respirators of .:;mon solvent is water. self-contained breathing apparatus. SOx Oxides of sulfur. . Sys System or systemic. Species On the MSDS's, species refers to the Systemic Poison A poison that spreads through test animals—usually rats, mice, or rabbits—used out the.body, affecting all body systems and or- to obtain the toxicity test.data reported. gans: Its adverse effect is not localized in one spot or area. Specific Chemical Identity The chemical name, Chemical Abstracts Service (CAS) Registry Num- Systemic Toxicity Adverse effects caused by a ber, or any precise chemical designation of a substance that affects the body in a general substance. rather than local manner. Specific Gravity The weight of a material com Synonym Another,name or names by which a pared to the weight of an equal volume of water material is known. Methyl alcohol, for example, is is an expression of the density(or heaviness) of known as methanol or wood alcohol. a material. Insoluble materials with specific gravi- ty of less than 1.0 will float in (or on)water. In- Target Organ Effects The following is a target or- soluble materials with specific gravity greater gan categorization of effects that may occur, in- than 1.0 will sink in water. Most (but not all) flam- eluding examples of signs and symptoms and mable liquids have specific gravity less than 1.0 chemicals that have been found to cause such and, if not soluble, will float on water—an Iimpor- effects. These examples are presented to illus- tant consideration for fire suppression. trate the range and diversity of effects and haz- ards found in the workplace, and the broad Spill or Leak Procedures The methods, equip- scope employers must consider in this area, but ment, and precautions that should be used to they are not intended to be all inclusive. control or clean up a leak or spill. Splash-Proof Goggles Eye protection made of a (a) Hepatotoxins Chemicals that produce noncorrosive material that fits snugly against the liver damage. face, and has indirect ventilation ports. Signs and Jaundice; liver enlarge- Spontaneously Combustible A material that ig- Symptoms ment. nites as a result of retained heat from process- ` Chemicals Carbon tetrachloride; nitrosamines. II-12 f b, Ne hrotoxins Chemicals that produce Target Organ Toxin A toxic substance that at- kidney damage. tacks a specific organ of the body. For example, overexposure to carbon tetrachloride can cause Signs and Edema; proteinuria. liver damage. Symptoms Chemicals Halogenated hydrocar- TCC Tag (Tagliabue) Closed Cup. See Flashpoint. bons; uranium. TCL Toxic concentration low, the lowest concen- (c) Neurotoxins Chemicals that produce tration of a gas or vapor capable of producing a their primary toxic effects defined toxic effect in a specified test species on the nervous system. over a specified time. Signs and Narcosis,; behavioral TDL Toxic dose low, lowest administered dose of Symptoms changes; decrease in mo a material capable of producing a defined toxic for functions. effect in a specified test species. Chemicals Mercury, carbon disulfide. Temp Temperature. (d) Agents that act Decrease hemoglobin func- Ter See Teratogen. on blood hema- tion; deprive the body topoietic system tissues of oxygen. Teratogen A substance or agent, exposure to Signs and Cyanosis; loss of con- which by a pregnant female can result in malfor- Symptoms sciousness. mations in the fetus. Chemicals Carbon monoxide; Tfx Toxic effect(s). cyanides (e) Agents that Chemicals that irritate or TLV Threshold Limit Value is a term used by damage the damage the pulmonary ACGIH to express the airborne concentration of lung tissue. material to which nearly all persons can be, ex- posed day after day without adverse effects.. Signs and Cough, tightness in chest, ACGIH expresses TLVs in three ways: Symptoms shortness of breath. Chemicals Silica; asbestos. TLV-TWA: The allowable Time-Weighted Aver- age concentration for a normal 8-hour workday (f) Reproductive Chemicals that adversely or 80-hour workweek. . toxins affect the reproductive TLV-STEL: The Short-Term Exposure Limit, or -- capabilities including chro- maximum concentration for a continuous mosomal damage (muta- 15-minute exposure period (maximum of four tions) and effects on such periods per day, with at least 60 minutes _ fetuses(teratogenesis). between exposure periods, and provided the Signs and Birth defects; sterility. daily TLV-TWA is not exceeded).- Symptoms - Chemicals Lead; DBCP TLV-C: The ceiling exposure limit—the concen- tration that should not be exceeded even in (g) Cutaneous Chemicals that affect the stantaneously. _ hazards dermal layer of the body. TOC Tag Open Cup. See Flashpoint. Signs and Defatting of the skin; Symptoms rashes,irritation. Torr A unit of pressure, equal to 1/760 at- Chemicals Ketones; chlorinated cork- mosphere. pounds. Toxic A chemical falling within any of the follow- (h) Eye hazards Chemicals that affect the ing categories: eye or visual capacity. (a) A chemical that has a median lethal dose Signs and Conjunctivitis; corneal (LDW) of more than 50 milligrams per kilo- Symptoms damage. gram but not more than 500 milligrams per kilogram of body weight when administered Chemicals Organic solvents; acids. orally to albino rats weighing between 200 and 300 grams each. II-13 f (b) A chemical that has a median lethal dose ug Microgram, one-millionth of a gram. (L D50) of more than 200 milligrams per kilo- gram but not more than 1,000 milligrams per Unstable Tending toward decomposition or other kilogram of body weight when administered unwanted chemical change during normal han- by continuous contact for 24 hours (or less if dling or storage. death occurs within 24 hours) with the bare skin of albino rabbits weighing between two Unstable Reactive A chemical that, in the pure and three kilograms each. state, or as produced or transported, will vigorously polymerize, decompose, condense, or (c) A chemical that has a median lethal concert become self-reactive under conditions of shocks, tration LC in air of more than 200 arts ( so)�� P pressure, or temperature. per million but not more than 2,000 parts per million by volume of gas or vapor, or more USDA U.S. Department of Agriculture. than two milligrams per liter but not more than 20 milligrams per liter of mist, fume, or Vapor The gaseous form of a solid or liquid sub- dust„ when administered by continuous inha- stance as it evaporates. lation for one hour (or less if death occurs within 1 hour) to albino rats weighing between Vapor density The weight of a vapor or gas com- 200 and 300 grams each.' pared to the weight of an equal volume of air is an expression of the density of the vapor or gas. a Toxic Substance Any substance that can cause Materials lighter than air have vapor densities acute or chronic injury to the human body, or less than 1.0 (examples: acetylene, methane, which is suspected of being able to cause dis- hydrogen). Materials heavier than air (examples: eases or injury under some conditions. propane, hydrogen sulfide, ethane, butane, chlo- rine, sulfur dioxide) have vapor densities greater Toxicity The sum of adverse effects resulting than 1.0. All vapors and gases will mix with air, from exposure to a material, generally, by the but the lighter materials will tend to rise and dis-. mouth, skin, or respiratory tract. sipate (unless confined). Heavier vapors and gases are likely to concentrate in low places— Trade Name The trademark name or commercial along or under floors, in sumps, sewers, and trade name for a material or product. manholes, in trenches and ditches—where they may create fire or health hazards. Transplacental An agent that causes physical defects in the developing embryo. Vapor pressure The pressure exerted by a satu- rated vapor above its own liquid in aclosed con- TSCA Toxic Substances Control Act (Federal En- tainer. When quality control tests are performed vironmental Legislation administered by EPA) on products, the test temperature is usually regulates the manufacture, handling, and use of ' 100°F, and the vapor pressure is expressed as materials classified as "toxic substances." pounds per square inch (psig or psia), but vapor pressures reported as MSDS's are in millimeters TWA Time-Weighted Average exposure is the air- of mercury (mmHg) at 68OF (200C), unless stated _3 borne concentration of a material to which a per- overwise. Three facts are important to remember: son is exposed, averaged over the total exposure time—generally the total workday (8 to 12 hours). 1. Vapor pressure of a substance at 100°F will Also see TLV. always be higher than the vapor pressure of the substance at 680F (200C), UEL, or UFL Upper explosive limit or upper flam- 2. Vapor pressures reported on MSDS's in mable limit of a vapor or gas; the highest con- mmHg are usually very low pressures; 760 centration (highest percentage of the substance mmHg is equivalent to 14.7 pounds per in air) that will produce a flash of fire when an ig- square inch. nition source (heat, arc; or flame) is present. At ' higher concentrations, the mixture.is too "rich" 3. The lower the boiling point of a substance, the to burn. Afso see LEL. higher its vapor pressure. 11-14 d Ventilation See General Exhaust, Local Exhaust, Water-Reactive A chemical that reacts with water and Mechanical Exhaust. to release a gas that is either flammable or presents a health hazard. Vermiculite An expanded mica (hydrated magnesium-aluminum-iron silicate) used as sor- Work Area A room or defined space iri a work- bert for spill control and cleanup. place where hazardous chemicals are produced or used, and where employees are present. Viscosity The tendency of a fluid to resist internal flow without regard to its density. Workplace An establishment at one geographic:: location containing one or more work areas. Volatility A measure of how quickly a substance forms a vapor at ordinary temperatures. Zinc Fume Fever A condition brought on by inha, lation of zinc oxide fume characterized by flulike Water Disposal Methods Proper disposal symptoms with a metallic taste in the mouth, methods for contaminated material, recovered liq- coughing, weakness, fatigue, muscular pain, and uids or solids, and their containers. nausea, followed by fever and chills. The onset of symptoms occurs four to twelve hours after eY- posure. I Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagan . 686 Route 132, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------- ------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 31, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 5/31/2007 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable yoFOWE.to Regulatory Services 0 Thomas F. Geiler,Director fifi ' NSn". Public Health Division 1639. ,0� °?earnp'" Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 L�wk� f� Cl/i*3q ASSESSORS MAP AND PARCEL NO. 3 _D 1 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT /-d G NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION,,://FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION f�/g FULL NAME AND ME A DRESS/OF: PRESIDENT ��� �11-74 TREASURER 0-/5;1 CLERK )3 Na, A,---------------- / SIGNATURE OF P ANT /-aYs &v .—,7z4,-Z-y RESTRICTIONS: HOME ADDRESS kO,l-fAjN HOME TELEPHONE C4 ZD oO6 Town of Barnstable aF�r+er Regulatory Services � : Thomas F. Geiler,Director ���b �'� O.Z4lqo' ` Public Health Divisiont bThomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax:.508-790-6304 . Application Fee: $100.00 - ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 1,tAf-ora W. Tar,U NAME OF ESTABLISHMENT IJ ADDRESS OF ESTABLISHMENT !Q 1 c. 7 32 1±4C'nncS itiiA- OZCp U TELEPHONE NUMBER 5y$-_7_75- 30g2 _- -SOLE OWNER: YES No IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF AIL--1 PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. UL4'2 L43 21-a STATE OF INCORPORATION MGSs�c�us�N FULL NAME AND HOME ADDRESS OF: PRESIDENT r,_el . c cI 19 Grcw 1-fr'l1 ��t (�U.✓�G�✓�SfGt MA 02��� TREASURER a (4 /' MG r "5 n1liS -Q CLERK l-/� //c T��. rea I (�✓ mj ate �Zc� 8 SIGNATURE OF APPLICAN RESTRICTIONS: HOME.ADDRESS t 4,1. 3��,MA HOME TELEPHONE* S�T—cf 1 c-'Z a8 0 xaz.aoc,lwpiG i MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagan 686 Route 132, MA 02601 Is Hereby Granted a License I FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. May 24, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health } 1� Number Fee 198 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Tracy Volkswagon PO BOX 460/686 Iyannough Rd, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- N O This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2012 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable °FTHE Regulatory Services ti Thomas F. Geiler,Director * �xtvsr�atE *` V, MASS. Public Health Division s6;q. �0� iDrF6.39 ' Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax:.508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE `7 ff APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN ill GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT Ya BOG �rQ NAME OF ESTABLISHMENT V01k 0-0 ADDRESS OF ESTABLISHMENT �TC Q Vt 6 f !NEL&jHONEN1JM13ERca (54 OL,OWNER: YES NO APPLICANYIS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. a - q 3 a 7 STATE OF INCORPORATION V ' FULL NAME AND HOW ADDRESS OF: PRESIDENT 6rcco� TREASURER a i CLERK SIGNATUREE OF APPLIC/ABNIT RESTRICTIONS: HOME ADDRESS Hd//�� /Si - 6� HOME TELEPHONE# 522wL Haz.doc/wp/q V�-CA, TOWN OF BARNSTABLE �d UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS �w .a� r NAME / 1Z�cy f'4L,�S[,d���.✓ S'...�- ADDRESS �d c�fs� �3� VILLAGEy,to.�....�/ LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 5 7 2. 15 G 0 ± 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: _ PASSED � j- - DID NOT PASS t�.ror/r- NAME ;T" ITION r- Tracy Volkswagen, 'Inc, 5y enough Rd. (Rte. 132) Iyano xi Hyannis Hyanm ,, a BOOK rti�:; ,` PATE GRA**�ED ° ,:"i" ld� ri11�V1`11 STORED bL}y w iesx—F.i _ 77/52 6/22/56 RAT 1973 s March 20 NlR 5 1974 MAR 1^^ i ���Y MAR 4 ,-76ary f _ ry MAR :� � , TOXIC AND HAZARDOUS MATE IALS R STRATION F RM Mail To: NAME OF BUSINESS: > .` Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO �/ This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners _ V Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners -/ Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, !!� Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink �✓ Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda If Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) _ Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) B .bf/ ors-yam V Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS l Glass: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUTI IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) � V e-6 Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) y" transmission/hydraulic Synthetic Organics: - -sl47 Q egreaserT Ili i cellaneous: 1 V;Nle,44 R � igy 2a eo- Wf l DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer 'Public 4 P70n-site OPrivate 3. Indoor Floor Drains YES V NO O Holding tank: MDC I/ O Catch basin/Dry well f O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC Catch basin/Dry well IYW-, 9 �� O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product Licensed? 1. ��/lf ft/�!� �J�'�f/ '1�'/P✓�� �. �1�/jL� YES NO erson (s) In-tei4viewed Inspector Date J. TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF=BUSINESS: ' � ��. > �°� Board of Health MAILING ADDRESS: ' AIIV'. Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 Hyannis, MA 02601 CONTACT PERSON: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totallin , at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO t r P This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered w Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners ✓ Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners ✓ Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, ✓ Other petroleum products: grease, lubricants rodenticides) ✓ Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustprooferi A-,{— Nod n.� c.v1) Swimming pool chlorine C ✓/Car wash detergents Lye or caustic soda ✓ Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners /(inc. carbon tetrachloride) Floor & furniture strippers ✓ Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) ✓ Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): /,(dry cleaners) �«��; .°o� �✓J�� �f V ; Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2•Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS l Class: 7.Miscellaneous tor QUANTITIES AND STORAGE (IN= indoors;OUT-outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: // Gasoline Jet Fuel(A) F74 Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) Tom' or new motor oil (C) y� transmission/hydraulic 11. Synthetic Organics: -rav .V_1.1 egreasers .��j� — 2 p'/ 17 /.y j T y('? '!;7 Mice laneous: 1 r � l . DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer O'ublic rOn-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank: MDC v / ' 1- 44114. O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES—KNO ORDERS: O Holding tank:MDC Catch basin/Dry well O On-site system 5. Waste Transporter DestinationName of Hauler - Product 1. �>V i!/� 1/ /,rL►. �J�'(J f� f�/�//'�� � � YES I NO 2. erson (s) In iewed Inspector Date TOWN OF BARNSTABLE coats fa WE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH 3.Auto Body Shops Q unsatisfactory- 4.Manufacturers COMP (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS J Class: 7.Miscellaneous =TANTITIES AND STORAGE (IN-indoors;OUT-outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks /,, IN OUT IN OUT IN OUT #&gallons Age Test ue s: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils:W'4tf waste otor oil (C) '� new m oil(C) transmissi Hydraulic Synthet de r� ease„rsIles wvi-4 HA4 -26,,o6 Cd 6Ij� DISPOSAURECLAMATION REMARKS: is r 1. Sanitary Sewage 2.Water Supply O Town Sewer Public XOn-site O Private t. 3. Indoor Floor Drains YES V NO O Holding tank: MDC !� O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES—L/ NO ORDERS: O Holding tank:MDC X Catch basin/Dry well C O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO Oit 2. 2j_ c ol _42 on s Intervie nspector Date L TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM e NAME OF FIRM: ��� �•-_� MAILING ADDRESS: iZ- TELEPHONE NUMBER: CONTACT PERSON: 77 , ��� Does your firm store any of the toxic or hazardous materials listed below'. either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES V NO This form must be returned to the Board of Health regardless of a YES or NO answer Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: - LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be' registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a heck beside each product that you store: Antifreeze (for gas-line or coolant systems)- Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides ) Hydraulic fluid (including brake fluid) Photochemicals — ', Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel , Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored `Rustproofers outdoors) — Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar carbons, (inc.carbon rPaints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers R E C E IV E ® Other products not listed (including bleach) HEALTH Dom— which you feel may be Spot removers & cleaning fluids TOWN OF BARNSTABLE(dry cleaners ) toxic or hazardous (please list) : Other cleaning solvents Bug and tar removers Household cleansers , oven cleaners Drain cleaners MAY 1 4 1981 Toilet cleaners Cesspool cleaners �—L `,� e,� Disinfectants `� Road S a i .- (H a l i t e ) �J TOWN OF BARNSTABLE ' s BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM Mw S wa ADDRESS Major types of materials: 1) VSP oiI 2) � ct.S'n }�Q 3) R119 r 2:; r 5 4) An+,6eze_ 5) `BQIkdl'1 6) �1ar'n S -41 ne. I. Description of material(s) use: Cl (— II. Storage (denote product by number listed above) A. Containers metal: glass paper plastic .cans,bottles,jars drums,barrels aboveground tanks underground tanks 1 bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility �/or.# Remarks/Recommendations 1. Indoor a) separate, contained room .b) stored in general work area i) inadequate ventilation ii) floor drains. iii) inadequate fire protection 2. Outdoor r�e a) uncovered, exposed to weather a y & n b) pervious surface/catch basins Cwe III. Disposal A. Reclamation/Recycling unit B. On-site disposal 1. Town sewer 2. Regular septic system `/ 3. Separate holding tank C. Off-site disposal 1. hauled by own firm 2. hired.hauler CVW —®� a) name of hauler b) address or disposal site Persons) Interviewed — � `_ _ — _ �pector _ _ _ _ Date — 7 - - ,� - - - - L ', 1 ` COMPLIANCE:. CLASS: 1. Marine,Gas Stations,Repai.r � OF RNSTAE �L` 2. BOAR �' E/4LTI� 0 satisfactory i . . . ,Printers , � � ; A - . 3. Auto"P.ody Shops O unsatisfactory- 4. Manufacturers M COMPANY 9' �- •" ` (see"Orders") S. Retail Stores 6. Fuel Suppliers ADDRESS Class- 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) AiAJOR.MA'T RIALS Case lots Drums AboveTanks Undetgrnuad Tanks IN UT IN 0 INOUT # zallons Aee ? Fuels a Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: a waste -motor oil (C) a new motor oil (C) /- ✓y) { transmission/hydraulic . Synthetic Organics: + E -degreasers j Miscellaneous: DISPOSAL RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply ` C. . Town Sewer 0 Public . ® On-site ® Private 3. Indoor Floor Drains: YES NO Holding tank: MDC ---- O Catch ba in/Dry well On-site system ' D 4. Outdoor Surface drains:YES NC Holding tank: MDC Catch basin/Dry well oOn-site system S 'Waste Transporter S Lice yrsed? • =- Name of Hauler D .c ina ion Waste Product ylle� NO �#W111 (J 1 r3 Person(s) Interviewed„. _` p .,.-'Inspector Date 1"OWN OF BARNSTA B''l�E/ f COMP'LIANCE: CLASS`' f 1. Marine,Gas Stations,Repair �satisfactory r : e. � .=Printers BOARD OF HEALTH` ✓ 3. .Auto Body Shops s i 0unsatisfactory- 4. Manufacturers 1 `� , � (see"Orders") S. Retail Stores COMPANY 6. Fuel Suppliers ADDRESS �° - r Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indocrs; OUT=outdoors) Case lots Drums AboveTanks Underground Tanks MAJOR MATERIALS IN IDUT IN IOUT IN tOUT N el e Test? Fuels: . Gasoline, Jet Fuel (A) -7 Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: i . Aniq a-sers L . SAL RECLAMATION D1SP0.� REM�.RKS. 1. Sanitary Sewage 2. Water Supply OTown SewerPublic -site Priv to 11&.,-Ajx, P ,�.._ 1 3. .Indoor Floor Drains: YES NO61 .- , 4 Holding tank; MDC O Catch basin/Dry well 0 On-site--system 4. Outdoor Surface drains-.YES NC O HoldinL; tank: MDC O Catch basin/Dry well OOn-s t system S. Waste TO . ransporter, Licensed? f. df !1 sting ion ' \ ,S ,r r . a kb//•, 1. )"A ,F u et erson s) .Int: iewe _ - hnspector ef, .•.. ,Uate N ii _ a .-